| NPI | 1285966572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WETSCH Program Director 612-825-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1055168) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |