| NPI | 1376824953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA K GRANT Oprations Executive 612-284-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MN 1721311) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |