| NPI | 1174123376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBIN HASSAN HASHI Mental Health Practitioner 612-876-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |