| NPI | 1184338774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMSON ALAYANDE President 612-456-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 385H00000X Respite Care |
| 251C00000X | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-08-12 |