| NPI | 1902664584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAWAL ALI Owner 612-701-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |