| NPI | 1740547728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORAN D. BEAULIEU Tribal Health Director 218-679-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MN 0202) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |