| NPI | 1902622921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY DEBOEST Director/Owner 507-219-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |