| NPI | 1740462969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA O ALABI Human Services Manager 651-478-8002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2019-09-04 |