| NPI | 1992559157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEELOCHANI STADTHERR Senior Director Of Reimbursement 952-855-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |