Northwest Residence, Inc
Northwest Residence, Inc is a Community/Behavioral Health Agency in Brooklyn Center, Minnesota. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4408 69th Ave NBrooklyn Center, MN 55429-1739
Phone: (763) 566-3650
Fax: (763) 566-4217
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1629198965 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diane Ollendick Wright — Executive Director · (763) 277-1038 |
| NPI enumerated | March 30, 2007 |
| Last updated in NPPES | May 24, 2013 |
| Mailing address | 4408 69th Ave N, Brooklyn Center, MN 55429-1739 |
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