| 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 |