| Organization Name: | TRI-VALLEY OPPORTUNITY COUNCIL |
| NPI Number: | 1104098672 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA E BOUDREAUX (HEALTH SERVICES MANAGER) |
| Mailing Address: | 102 N Broadway Crookston |
| State: | MN US |
| Postal Code: | 567161731 |
| Phone Number: | 2182815832 |
| Fax Number: | 2182816676 |
| NPI Enumeration Date: | 03/25/2008 |
| NPI Last Update Date: | 03/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | R137745-7 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |