| NPI | 1972950962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIR PRODY CEO 218-739-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MN 801338-1) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |