| NPI | 1033960646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHO AHMED Center Director 507-990-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |