NPI | 1366894974 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI KRESS CEO 651-699-0206 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2016-07-07 |
Last Update Date | 2023-04-27 |