| NPI | 1215191127 |
|---|---|
| Other Name | KITTSON COUNTY DAC |
| Entity Type | Organization |
| Authorized Contact | CORRINE RAE KARBOVIAK Director 218-754-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN 801303) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |