| NPI | 1063232643 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | ZIAD RASHID OUMER Owner 612-423-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |