| NPI | 1053022756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID AHMED MOHAMED CEO/President 612-707-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |