| NPI | 1023816279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KRESS CEO 651-789-5906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |