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Northwest Residence, Inc.
Mental Illness Community Based Residential Treatment Facility in Brooklyn Center, Minnesota
NPI 1629198965

Northwest Residence, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Brooklyn Center, MN. Northwest Residence, Inc. practices in Brooklyn Center, MN. The NPI Number for Northwest Residence, Inc. is 1629198965 and holds a License No. (Minnesota).

The current practice location address for Northwest Residence, Inc. is 4408 69Th Ave N, Brooklyn Center, MN and can be reached out via phone at 763-566-3650 and via fax at 763-566-4217.

Location: 4408 69Th Ave N, Brooklyn Center, MN, 55429-1739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629198965
Provider Name
Northwest Residence, Inc.
Credential
Provider Entity Type
Organization
Address
4408 69Th Ave N, Brooklyn Center, MN, 55429-1739
Phone Number
763-566-3650
Fax Number
763-566-4217
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4408 69Th Ave N
City
Brooklyn Center
State
Minnesota
Zip
55429-1739
Phone Number
763-566-3650
Fax Number
763-566-4217
person
Provider Business Mailing Address Details
Address
4408 69Th Ave N
City
Brooklyn Center
State
Minnesota
Zip
55429-1739
Phone Number
763-566-3650
Fax Number
763-566-4217
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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