| NPI | 1578075750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZA HASSAN CEO 651-315-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MN 381821) |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2024-03-18 |