| NPI | 1902472798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BRIMER Owner 320-335-1709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-03-01 |