| NPI | 1114278280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELONY L. BUTLER Chair Director 218-371-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MN 5381) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MN 5382) |
| 251K00000X Public Health or Welfare (Licence: MN 5380) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |