| NPI | 1154774925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYE D DIOUF Chief Financial Officer 612-543-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-09-24 |