| NPI | 1528672243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANA F DIRIE Owner 952-393-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QM3000X Clinic/Center Medically Fragile Infants and Children Day Care | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |