| NPI | 1073976601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO BARRIENTEZ Owner 952-777-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 866867100036) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |