| NPI | 1831904333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASHIR BARKADLE Director 612-707-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |