| NPI | 1386494052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRAHMAN UMAR YUSUF Director 612-598-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-04-22 |