Organization
PRAIRIE COMMUNITY SERVICES
Active
Parent organization
ST. FRANCIS HEALTH SERVICES OF MORRIS, INC
Other names
Fresh Start PCS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. FRANCIS HEALTH SERVICES OF MORRIS, INC
Authorized official
MS. SHERRY L WAGNER (CFO)
(320) 589-4919
Entity
Organization
Contact information
Practice address
1610 E 1ST ST, DULUTH, MN 55812-1650
(218) 724-2945
Mailing address
801 NEVADA AVE STE 100, MORRIS, MN 56267-1874
(320) 589-2004
(320) 589-1270
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
1060122-1-RMI
MN
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
FBL-21674-37286
MN
Other
Enumeration date
11/30/2012
Last updated
07/24/2013
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