| Organization Name: | SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC CTC |
| NPI Number: | 1215012059 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI C KLOOSTER (HEALTH SERVICES DIRECTOR) |
| Mailing Address: | 909 4th Ave Worthington |
| State: | MN US |
| Postal Code: | 561872326 |
| Phone Number: | 5073764195 |
| Fax Number: | 5073724214 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |