| NPI | 1952255382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIGIST CHIRI Owner 763-269-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-03-18 |