| NPI | 1255695961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA NOVIK CEO 612-306-4957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |