NPI | 1942327432 |
---|---|
Other Name | SILS-WAIVERED |
Entity Type | Organization |
Authorized Contact | JOANNE BROSCHOFSKY Finance Director 320-650-1571 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |