| NPI | 1104909779 |
|---|---|
| Former Legal Business Name | WEST CENTRAL COMMUNITY SERVICES CENTER |
| Entity Type | Organization |
| Authorized Contact | ASHLEY KJOS CEO 320-235-4613 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MN 830946) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-08-03 |