| NPI | 1124816236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULAZIZ BERENTO Director 612-222-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |