| NPI | 1093396574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIAZIZ RASHID Owner 612-245-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-07-10 |