NPI | 1083084180 |
---|---|
Other Name | IFCS |
Entity Type | Organization |
Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS Vice President & Sr. Asst Gc 952-836-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2015-10-01 |
Last Update Date | 2024-01-16 |