| NPI | 1033344775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON LEROY SOWELL Business Manager 651-639-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |