| NPI | 1073112975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANAD YUSSUF MOHAMED Owner 612-702-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |