Therapeutic Community Residence, Inc.

NPI #1508936980 in Lindstrom, Minnesota

Provider Information

NPI Number: 1508936980
Entity Type: Organization
Organization Name: Therapeutic Community Residence, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 28100 NEWBERRY TRAIL
City: Lindstrom
State: Minnesota
ZIP Code: 55045-9078
Phone: (651) 257-1507

Authorized Official

Name: MR. DANIEL MCNALLY
Title: ADMINISTRATOR
Phone: (651) 257-1507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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