MSOCS Hickory Trail, Brainerd

License Number- 1107939

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  MSOCS Hickory Trail

Website-  

Address- 17772 JOHNSON RD, Brainerd, MN 56401-6327

County -Crow Wing

Phone-(651) 431-6882

License Status-   Active

License Holder -Direct Care and Treatment

Capacity-   3

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-  Crow Wing County Social Services

Initial Effective Date-  1/1/2021