| NPI | 1972470375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAL ABDIFATAH AHMED Director 612-978-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |