| NPI | 1083396154 |
|---|---|
| Doing Business As | MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | RAHIMA JEMAL ALIYI Manager 651-815-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |