| NPI | 1528547650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MATTHEW BAKER President 763-898-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1028893-3-ADC) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-10-07 |