| NPI | 1962724104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS G HARDEN President 651-735-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MN 1487) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2015-06-18 |