| NPI | 1790501872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSUF A MOHAMED CEO/Owner 763-203-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2024-11-23 |