| NPI | 1114814605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDI ALI HUSSEIN Owner/Manager 612-384-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-10-15 |