| NPI | 1376308791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEEL ABDELRASHID MOHAMED Owner 612-987-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |