| NPI | 1003132838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BETTS Owner/CEO 612-363-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MN 3031) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |