| NPI | 1184439499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRAD ABDINUR FARAH Professional Clinical Counselor 952-288-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |