| NPI | 1487005252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIWELI HASSSAN HASHI President 952-406-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-12-29 |