Organization
TRI-VALLEY OPPORTUNITY COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA E BOUDREAUX RN (HEALTH SERVICES MANAGER)
(218) 281-5832
Entity
Organization
Contact information
Practice address
102 N BROADWAY, CROOKSTON, MN 56716-1731
(218) 281-5832
(218) 281-6676
Mailing address
PO BOX 607, CROOKSTON, MN 56716-0607
(218) 281-5832
(218) 281-6676
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
R137745-7
MN
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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