NPI | 1629302401 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE WINBAUER Controller 763-862-5436 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2009-09-25 |
Last Update Date | 2009-09-25 |