| NPI | 1417718636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANWAR MUHUMED Owner 763-415-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |