Organization · Type 2 NPI

Prairie Community Services

Mental Illness Community Based Residential Treatment Facility · Morris, MN

NPI number 1124336862 Active

Practice location

801 Nevada Ave Ste 100
Morris, MN 56267-1874

Call (320) 589-2004 Map

Fax (320) 589-2543

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	1056816 (MN)
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	1056816 (MN)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

NPI record

NPI: 1124336862
Entity type: Organization (Type 2)
Issued: Sep 15, 2010
Last updated: Apr 19, 2011
Status: Active
Subpart: Yes of St. Francis Health Services of Morris, Inc

Other names

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Brentwood PCS · other name

Authorized official

Sherry Wagner
Assist Director of Finance
(320) 589-4902

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124336862

Prairie Community Services's National Provider Identifier is 1124336862, issued on Sep 15, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Morris, MN. The record was last updated on Apr 19, 2011.