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 (Licence: MN 830946) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2017-08-03 |