| NPI | 1851588487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE NICOLE CASTROVINCI Chief Manager/Owner 952-944-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 4492) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2016-05-18 |