| NPI | 1336218924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM MADDEN CEO 651-699-0206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-07-13 |