| NPI | 1437208808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN KANMUE KOLLEH Executive Director 763-442-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MN 747912000) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-09-26 |