NPI | 1083136352 |
---|---|
Entity Type | Organization |
Authorized Contact | AHMEDWELI HASSAN FARAH President/CEO 952-715-7471 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2017-07-08 |
Last Update Date | 2017-07-08 |