NPI | 1700976800 |
---|---|
Former Legal Business Name | WEST CENTRAL COMMUNITY SERVICES |
Entity Type | Organization |
Authorized Contact | ASHLEY KJOS CEO 320-235-4613 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X (Licence: MN 802474) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2017-08-03 |