NPI 1972118438

Phoenix

Organisation Voluntary or Charitable Agency North Branch, MN

Practice location

Address: 6697 Elm St, North Branch, MN 55056-7045
Phone: (651) 795-8759

Authorised official

Name: Jeremy James Kortus
Title: Co-Founder
Phone: (651) 795-8759

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Minnesota →

Registry record

NPI: 1972118438
Entity type: Organization
NPI issued: 11 Sep 2020
Record last updated: 11 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.