| NPI | 1295116408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL M TARRAS Director Of Operations 952-994-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MN cc00985) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2017-11-30 |