| NPI | 1881354181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JOELLE PATRICIA PATCHE CFO 612-245-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-07-19 |