| NPI | 1578001178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VUE CEO 763-951-9049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN 24976) |
| Additional Taxonomies | 251S00000X (Licence: MN 8738) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |