| NPI | 1083083398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABSHIR MOHAMED WARSAME Owner 763-439-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |