| NPI | 1205969979 |
|---|---|
| Other Name | ST CLOUD CHILDREN'S HOME - CTC |
| Entity Type | Organization |
| Authorized Contact | JOANNE BROSCHOFSKY Finance Director 320-650-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |