| NPI | 1538048483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE C MARTINSON Director, Revenue Management 651-696-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-28 |