| NPI | 1376041822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETHEA ANDERSON Care Operations Manager 612-618-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2025-03-20 |