Organization
OTTER TAIL WADENA COMMUNITY ACTION COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIS LEINO-MILLS (EXEC. DIRECTOR)
(218) 385-2900
Entity
Organization
Contact information
Practice address
200 1ST AVE S, PERHAM, MN 56573-1445
(218) 346-3612
(218) 346-3612
Mailing address
PO BOX L, NEW YORK MILLS, MN 56567-0372
(218) 385-2900
(218) 385-4544
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
587053400
—
MN
Enumeration date
03/21/2007
Last updated
01/20/2010
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