| NPI | 1629361092 |
|---|---|
| Doing Business As | BOUTWELLS LANDING ADULT DAY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | REBECCA A. CONWAY Executive Director Of Creative Inde 651-631-6123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1064266-1-ADC) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2013-02-18 |