License Number- 1122587
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Minnesota Community Based Services
Website-
Address- 38555 9TH AVE, North Branch, MN 55056-3317
County -Chisago
Phone-(763) 645-1225
License Status- Active
License Holder -Direct Care and Treatment
Capacity- 2
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1070559; and providing Community Residential Setting: Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Chisago County Health & Human Services
Initial Effective Date- 3/1/2024