| NPI | 1033284146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SWAMI President 651-208-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MN C10380) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-06-16 |