| NPI | 1871470039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAISA HASHI Founder/Executive Director 612-701-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |