| NPI | 1477224087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONGJOO LEE Office Manager 651-755-2836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |