NPI | 1265507933 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI KRESS CEO 651-699-0206 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OK 100631340E) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2023-04-27 |