| NPI | 1508154790 |
|---|---|
| Doing Business As | LAVINE PLACE |
| Entity Type | Organization |
| Authorized Contact | ARMANDO CAMACHO President & CEO 952-912-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MN 1060002-1-DTH) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2014-03-27 |