| NPI | 1811365174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE SEWARD Finance 612-543-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: MN T677718) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |