| NPI | 1023820040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKKA TAYLOR Managing Director 651-278-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2025-01-25 |
| Last Update Date | 2025-02-24 |