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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERAPEUTIC COMMUNITY RESIDENCE, INC.

Active Organization

Intellectual Disabilities Residential Treatment Facility · LINDSTROM, MN

Registration Details

NPI Number
1508936980
Provider Type
Organization
NPI Issued
Nov 9, 2006 (19.448440420268 yrs)
Last Updated
Aug 22, 2020
License
802495 (MN)

Practice Information

Address
28100 NEWBERRY TRAIL
LINDSTROM, MN, 550459078
Browse MN providers · Browse ZIP 55045
Phone
6512571507
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.