| NPI | 1902030471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LYNN SPAETH-HARRER Lead Ot 651-247-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: MN 101184) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |