Organization
PRAIRIE COMMUNITY SERVICES
Active
Parent organization
ST. FRANCIS HEALTH SERVICES OF MORRIS, INC
Other names
Brentwood PCS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. FRANCIS HEALTH SERVICES OF MORRIS, INC
Authorized official
SHERRY WAGNER (ASSIST DIRECTOR OF FINANCE)
(320) 589-4902
Entity
Organization
Contact information
Practice address
801 NEVADA AVE STE 100, MORRIS, MN 56267-1874
(320) 589-2004
(320) 589-2543
Mailing address
801 NEVADA AVE STE 100, MORRIS, MN 56267-1874
(320) 589-2004
(320) 589-2543
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1056816
MN
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1056816
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124336862
—
MN
Enumeration date
09/15/2010
Last updated
04/19/2011
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