| NPI | 1942658505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L BAUER NELSON Program Director 218-232-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: MN 1077546-1-ADC) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |