| NPI | 1437796976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKUR CHOPRA Owner 763-400-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2022-09-09 |