| NPI | 1013880129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED AHMED KEYNAN Director/Owner 612-806-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |