| NPI | 1013626555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOWLID FARAH President 952-994-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-02-01 |