| NPI | 1578824108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE FOUNTAINE Director/Owner 612-545-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |