| NPI | 1760503890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK MICHAEL CAMPBELL President 612-201-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MN 1017580) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |