| NPI | 1215122320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ANNE WILLIAMS Executive Director 612-871-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MN R0803171) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |