| NPI | 1619003076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MCINTYRE Accounting Technician 218-327-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MN 241569) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-09-04 |