| NPI | 1215951751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYE D DIOUF CFO 612-543-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-09-24 |