| NPI | 1962801399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE ELLIS-CHAPMAN Cheif Operating Officer 612-824-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1075541) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |