| NPI | 1922172907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY DRAGER CFO 651-698-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NE 110063) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-08-15 |