| NPI | 1740363316 |
|---|---|
| Former Legal Business Name | WEST CENTRAL COMMUNITY SERVICES CENTER |
| Entity Type | Organization |
| Authorized Contact | ASHLEY KJOS CEO 320-235-4613 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X (Licence: MN 802669) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-08-03 |