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 |