| NPI | 1952506263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LOU SICKLER President 218-428-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MN 10422911ws) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |