| NPI | 1225219983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELIO DE LA TORRE Accountant 612-746-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: MN 1021511-5-ADC) |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 347B00000X Bus (Licence: MN 922829) | |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2013-11-22 |