| NPI | 1790954279 |
|---|---|
| Doing Business As | FETAL ALCOHOL DIAGNOSTIC PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DANIEL L SVENDSEN Executive Director 218-336-5702 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 46825) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-07-15 |