Northwest Residence, Inc.

LBN: Northwest Residence, Inc.
Northwest Residence, Inc. is an health care organization with primary practice located at 4408 69Th Ave N , Brooklyn Center MN 55429-1739. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Northwest Residence, Inc. can be contacted via phone (763) 566-3650, or through Ollendick Wright, Diane M via phone (763) 277-1038.

Contact Information

Primary practice address
4408 69Th Ave N Brooklyn Center MN 55429-1739
Phone: (763) 566-3650
Fax: (763) 566-4217
Website:
Map and Directions
Authorized official contact:
Name: Ollendick Wright, Diane M LICSW
Phone: (763) 277-1038

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1629198965
LBN Legal business name Northwest Residence, Inc.
DBA Doing business as
Authorized official Ollendick Wright, Diane M LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated May 24th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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