| NPI | 1003692807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRIZAK HASSAN Manager 651-363-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |