| NPI | 1720200108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JOHNSON Office Manager 763-420-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 7060) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |