| NPI | 1063978369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISA EIFRIG RAUTH Director Of Contracting And Cred 952-947-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |