| NPI | 1043837560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MCPIPE Owner/Executive Director 612-385-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-11-15 |