NPI | 1518378470 |
---|---|
Entity Type | Organization |
Authorized Contact | ELOUISE A KNUTSON Owner, Supervisor 320-235-1121 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MN 1151) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2014-05-14 |