NPI | 1154130847 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP& Sr Asst General Counsel 952-836-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2025-01-06 |
Last Update Date | 2025-01-06 |