| NPI | 1598522203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHAD FARAH CEO 651-226-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |