| NPI | 1043082811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADRA AHMED Manager Director 612-226-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |