| NPI | 1174240204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYAN ABDI MAHAMUD Executive Director 612-964-0142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-04-29 |