| NPI | 1578550190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FELLING Agency Administrator 320-864-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MN 328290) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |