| NPI | 1922495340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MADDEN Chairman Of The Board & CEO 651-789-5905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2020-04-07 |