SUPPORTIVE LIVING SERVICES, INC. - NPI 1346374063 - Community/Behavioral Health in Brooklyn Center, MN

Q: What is Supportive Living Services, Inc.'s NPI number?

The NPI number for Supportive Living Services, Inc. is 1346374063. It was assigned to this organization in the NPPES registry on March 15, 2007.

Q: What is Supportive Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Supportive Living Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPPORTIVE LIVING SERVICES, INC. (NPI 1346374063) is a healthcare organization registered as a community/behavioral health in Brooklyn Center, Minnesota and active in the NPI registry since March 2007. The organization lists Diane M Ollendick Wright, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1346374063

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSUPPORTIVE LIVING SERVICES, INC.

Location Address5615 BROOKLYN BLVD STE 200Brooklyn Center, MN 55429-3086

Mailing Address5615 Brooklyn Blvd Ste 200Brooklyn Center, MN 55429-3086 · (763) 537-6612

Phone(763) 537-6612

Organization SubpartNo

Authorized OfficialDiane M Ollendick WrightExecutive Director · (763) 277-1038

Enumeration DateMarch 15, 2007

Last NPPES UpdateMay 24, 2013

✔ NPI 1346374063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

5615 BROOKLYN BLVD STE 200, Brooklyn Center, MN 55429

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Other Identifiers 1

Medicare UPIN191020501MN

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY C ALBERTS LSW, MS, CPRP

Social Worker