| NPI | 1174508873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS President/CEO 612-874-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 800713-2-ADC) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |