NPI | 1891186953 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN SULLIVAN CEO 612-670-6330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 3681) |
Enumeration Date | 2015-02-11 |
Last Update Date | 2015-02-11 |