| NPI | 1033956016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBOWALE OJUBAYO OLAGUNJU Program Director 651-278-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |