License Number- 1101674
License Type-Home and Community Based Services – Community Residential Setting
Name of Program- Pathways to Community Kimball Drive
Website-
Address- 401 KIMBALL DR, Champlin, MN 55316-1522
County -Hennepin
Phone-(763) 568-7102
License Status- Active
License Holder -Pathways to Community
Capacity- 3
Type Of License- This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1069743; 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- 9/1/2019