| NPI | 1760832646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN L SAILER Director 507-261-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-07-03 |