Organization · Type 2 NPI

Peterson Colonial Homes, Inc.

Assisted Living Facility (Mental Illness) · Brookston, MN

NPI number 1104037985 Active

Practice location

4723 Nygaard Road
Brookston, MN 55711-0350

Fax (218) 878-2978

Mailing address

PO Box 350
Brookston, MN 55711-0350

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625X0021 (MN)

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

About NPI 1104037985

Peterson Colonial Homes, Inc.'s National Provider Identifier is 1104037985, issued on May 24, 2007. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Brookston, MN. The record was last updated on Aug 22, 2020.