NPI | 1902495385 |
---|---|
Entity Type | Organization |
Authorized Contact | HAYU ABDULLE Owner 763-445-1409 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-01-11 |
Last Update Date | 2021-01-11 |