| NPI | 1750732202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE ISATU MANSARAY President 763-458-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |