Individual provider · Type 1 NPI
James Contois
Mental Illness Community Based Residential Treatment Facility · Brooklyn Center, MN
NPI number
1265973358
Active
Practice location
6120 Earle Brown Drive, Suite 100
Brooklyn Center, MN 55430
Mailing address
5384 5th St NE
Fridley, MN 55421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 20355 (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.
About NPI 1265973358
James Contois's National Provider Identifier is 1265973358, issued on Mar 9, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Brooklyn Center, MN. The record was last updated on Mar 9, 2017.