| NPI | 1184417172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAL A JAMA Owner 763-393-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |