| NPI | 1578171518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH R MORABU Owner/Director 952-393-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |