| NPI | 1124336862 |
|---|---|
| Other Name | BRENTWOOD PCS |
| Entity Type | Organization |
| Authorized Contact | SHERRY WAGNER Assist Director Of Finance 320-589-4902 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN 1056816) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MN 1056816) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-04-19 |