| NPI | 1205376639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOUNEY T. XIONG Vice President 763-999-4788 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1081612-1-ADC) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-03-04 |