| NPI | 1770020489 |
|---|---|
| Doing Business As | CENTRACARE CLINIC - LIFESTYLE HEALTH |
| Entity Type | Organization |
| Authorized Contact | THOMAS M FELDHEGE Director Of Finance And Treasurer 320-240-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-05-11 |