| NPI | 1831523059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MARGARET-CAMPBELL SHIELDS Music Therapist 763-360-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |