| NPI | 1639861164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DONOVAN MOREHOUSE Executive Director Of Ops/Hr 763-242-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |