| NPI | 1861871493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNEAU RONNYE75 HILL ARMSTRONG Clinical Director 612-986-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MN 18096) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |