| NPI | 1932427358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY METZER CEO 612-332-4973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2011-03-21 |