| NPI | 1396463238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GEIER Owner 612-790-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |