NPI 1124705058
Twin Cities Impact
Practice location
- Address
- 11208 Hanson Blvd NW Unit 215, Coon Rapids, MN 55433-3731
- Phone
- (651) 329-0733
Authorised official
- Name
- Trila Naomie Malone
- Title
- President
- Phone
- (651) 329-0733
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1124705058
- Entity type
- Organization
- NPI issued
- 3 Jul 2023
- Record last updated
- 3 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.