Organization · Type 2 NPI
Northwest Residence, Inc.
Mental Illness Community Based Residential Treatment Facility · Brooklyn Center, MN
NPI number
1629198965
Active
Practice location
4408 69th Ave N
Brooklyn Center, MN 55429-1739
Fax (763) 566-4217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
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.
4 other providers at this address
- Rescare Minnesota, Inc.Community/Behavioral Health Agency Brooklyn Center, MN NPI 1104262336
- Andrew J. Thompson, MSW, LICSWClinical Social Worker Brooklyn Center, MN NPI 1194986851
- April Marie Olson, LICSWClinical Social Worker Brooklyn Center, MN NPI 1245679125
- Matthew Louis Schaut, LPCCProfessional Counselor Brooklyn Center, MN NPI 1033624952
Other mental illness community based residential treatment facility providers in Brooklyn Center
About NPI 1629198965
Northwest Residence, Inc.'s National Provider Identifier is 1629198965, issued on Mar 30, 2007. 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 May 24, 2013.