| NPI | 1043281876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KAYE BORGEN Chs Administrator 218-333-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2017-11-03 |