| NPI | 1366913287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIIBAN AHMED HASSAN Director Of Opporations 612-644-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-20 |