| NPI | 1801607767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SHEEHAN Behavioral Analyst (Lba) 612-607-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2026-03-10 |