| NPI | 1477429231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONORINE NKWAWIR Administrator 763-439-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |