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 |