| NPI | 1699951079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ELLING Executive Director 651-450-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MN 266903000) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |