| NPI | 1982922324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE LINDSTROM Executive Director 651-282-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MN 803854-3-CDT) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |