| NPI | 1093409286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASPARK INC Operations 952-769-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-07-10 |