| NPI | 1649454372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW VILENCHIK President 763-201-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 338319) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |