| NPI | 1457350720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L FLACK Controller 612-821-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 809494) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2026-10-01 |