| NPI | 1083083752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYE D DIOUF Chief Financial Officer 612-543-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-09-24 |