| NPI | 1154128981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBEID ABDIRAHMAN Owner 763-327-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-06-10 |