| NPI | 1013774041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYUB MOHAMED Executive Director 952-855-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |