| Brentwood Pcs | |
|
801 Nevada Ave Ste 100 Morris MN 56267-1874 | |
| (320) 589-2004 | |
| (320) 589-2543 |
| Full Name | Brentwood Pcs |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 801 Nevada Ave Ste 100, Morris, Minnesota |
| Authorized Official Name and Position | Sherry Wagner (ASSIST DIRECTOR OF FINANCE) |
| Authorized Official Contact | 3205894902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Pcs 801 Nevada Ave Ste 100 Morris MN 56267-1874 Ph: (320) 589-2004 | Brentwood Pcs 801 Nevada Ave Ste 100 Morris MN 56267-1874 Ph: (320) 589-2004 |
| NPI Number | 1124336862 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 04/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124336862 | NPI | - | NPPES |
| 1124336862 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1056816 (Minnesota) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1056816 (Minnesota) | Primary |
Prairie Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Nevada Ave, Morris, MN 56267 Phone: 320-589-3077 Fax: 320-589-2543 |