| NPI | 1205968096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEE K. MOUA Director 651-379-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1063125) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-06-20 |