| NPI | 1992930911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY JAMES OLSON Chief Executive Officer 651-646-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN Applying) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |