NPI | 1013572056 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDISALLAM AHMED ABDULLE Exective Director 612-200-9466 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2019-05-06 |
Last Update Date | 2019-05-06 |