| NPI | 1619374428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY L. THOMPSON Chs Administrator 320-679-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MN 331159) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |