| NPI | 1629384086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISE C MERILLAT Behavior Specialist 952-997-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MN 1018126-3-FCC) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |