| NPI | 1194592196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LOVE DAVIES CEO 651-955-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2025-07-31 |