| NPI | 1982819561 | 
|---|---|
| Other Name | HEALTH SERVICES PROGRAM | 
| Entity Type | Organization | 
| Authorized Contact | JOANNE BROSCHOFSKY Director Of Finance 320-650-1571  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services | 
| Enumeration Date | 2007-05-14 | 
| Last Update Date | 2020-08-22 |