| NPI | 1346245537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY THOMPSON Director 320-679-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MN 328366) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MN 327751) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2022-05-19 |