NPI | 1548835267 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr Asst Gc 952-836-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2021-05-25 |
Last Update Date | 2024-01-23 |