| NPI | 1982214607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN A OSONOWO Administrator 612-702-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |