| NPI | 1154696813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS DREWS President 651-292-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN DC4257) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-30 |