| NPI | 1487923934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEANETTE QUINN-HASTINGS Lcsw 612-220-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: HI 3737) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |