| NPI | 1124542360 |
|---|---|
| Doing Business As | LIFE ALLIANCE, LLC |
| Entity Type | Organization |
| Authorized Contact | ABDISALLAM A ABDULLE CEO 952-777-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency (Licence: MN 1087364-1-HCBS) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |