| NPI | 1356743025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY KIMBALL Contract Manager 763-349-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: PA ma057166) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-05-01 |