| NPI | 1124253497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA KHARCHENKO Owner 612-298-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |