| NPI | 1407086267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M RADEL Account Technician 507-359-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MN 153544) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |