| NPI | 1073705661 |
|---|---|
| Doing Business As | CREEKSIDE ADULT DAY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DENVER KAUFMAN President 612-371-0053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-10-09 |