| NPI | 1114817855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYUB ABDISALAN ADEN Founder & Director 952-657-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251X00000X Supports Brokerage | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-07-04 |
| Last Update Date | 2025-07-04 |