| NPI | 1568747277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASRA J HERSI Executive Director 612-532-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1058898) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |