| NPI | 1285706275 |
|---|---|
| Other Name | CHEMICAL HEALTH PROGRAM |
| Entity Type | Organization |
| Authorized Contact | STEVE M. JACKELEN Vice President 218-751-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN 1042733-1-CDT) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |