| NPI | 1184262271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA QUEEN LANGFORD Owner 612-616-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2026-03-10 |