| NPI | 1588716203 |
|---|---|
| Doing Business As | CHRONIC PAIN REHABILITATION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | NANCY CARLSON Chronic Pain Program Director 763-520-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: MN 8356799) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-04-25 |