NPI | 1356908677 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr Asst General Counsel 952-836-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-05-22 |
Last Update Date | 2024-11-13 |