| NPI | 1740591270 |
|---|---|
| Doing Business As | BRENTWOOD |
| 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) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2011-04-07 |