| NPI | 1972976702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KRESS CEO 651-699-0206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-04-27 |