| NPI | 1871643908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C. MURPHY Program Director 507-893-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MN 1039894-1-CDT) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-06-13 |