| NPI | 1770308652 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STELLA NYAKUNDI Co Owner 763-213-9359  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness | 
| Enumeration Date | 2024-11-18 | 
| Last Update Date | 2024-11-18 |