NAME: Clark Lake Homes, Inc Peterson Shelley
CITY: Brainerd
COUNTY: Crow Wing
PHONE: (218) 825-8783
LICENSE HOLDER: Clark Lake Homes, Inc.
CAPACITY: 4
LICENSE TYPE: Home and Community Based Services – Community Residential Setting
TYPE OF LICENSE: This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1071354; and providing Community Residential Setting: Respite care services, out-of-home; Crisis respite, out-of-home; Foster Care services or supported living services
LICENSING AUTHORITY: Crow Wing County Social Services