| NPI | 1114684339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI-FALASTIN JAMA President 612-226-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-12-02 |