License Number- 1079445
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- MSOCS Concord
Website-
Address- 40821 FAHRION RD, North Branch, MN 55056-4943
County -Chisago
Phone-(651) 674-8532
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: Respite care services, out-of-home; Crisis respite, out-of-home; Foster Care services or supported living services
Restrictions-None
Services-
Licensing Authority- Chisago County Health & Human Services
Initial Effective Date- 8/26/2015