| NPI | 1629963327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH NOR Owner 763-328-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |