| NPI | 1932961422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYUB HASHI SHARIF President 612-254-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |