NPI 1508936980

Therapeutic Community Residence, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Lindstrom, MN

Practice location

Address: 28100 Newberry Trail, Lindstrom, MN 55045-9078
Phone: (651) 257-1507
Mailing address: 28100 Newberry Trail P.O. Box 742, Lindstrom, MN 55045-9078

Authorised official

Name: Daniel McNally
Title: Administrator
Phone: (651) 257-1507

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 802495 (MN)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Minnesota →

Registry record

NPI: 1508936980
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 22 Aug 2020

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.