| NPI | 1598589038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMOUD EGAL CEO 763-485-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 283Q00000X Psychiatric Hospital | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-25 |