| NPI | 1023828696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr Asst General Counsel 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 251S00000X |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |