NPI 1124336862

Prairie Community Services

Organisation Mental Illness Community Based Residential Treatment Facility Morris, MN

Practice location

Address: 801 Nevada Ave STE 100, Morris, MN 56267-1874
Phone: (320) 589-2004
Fax: (320) 589-2543

Authorised official

Name: Sherry Wagner
Title: Assist Director of Finance
Phone: (320) 589-4902

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 1056816 (MN)

Other Community Based Residential Treatment Facility, Mental Illness providers in Minnesota →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 1056816 (MN)

Other Community/Behavioral Health providers in Minnesota →

Registry record

NPI: 1124336862
Entity type: Organization
NPI issued: 15 Sep 2010
Record last updated: 19 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.