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 |