| 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 |