| NPI | 1366810434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS KIM Occupational Therapist 651-333-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MN 104158) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |