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 |