License Number- 1073087
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Mary T Associates Inc Lynbrook Site
Website- http://marytinc.com/
Address- 1009 82nd Ave North, Brooklyn Park, MN 55444-1708
County -Hennepin
Phone-(763) 566-5058
License Status- Active
License Holder -Mary T Associates Inc
Capacity- 4
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1073083; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Hennepin County Human Services & Public Health Dept
Initial Effective Date- 7/1/2014