| NPI | 1386505501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATOUMA ROBLE Owner 612-249-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2026-01-21 |