| NPI | 1396319554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDU EATI CEO 612-396-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 171400000X |
| 208D00000X General Practice | |
| 221700000X Art Therapist | |
| 2255A2300X Specialist/Technologist Athletic Trainer | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261QA3000X Clinic/Center Augmentative Communication | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-13 |