NPI | 1194405175 |
---|---|
Entity Type | Organization |
Authorized Contact | HIBO AHMED MOHAMED Owner 612-229-7816 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-07-24 |
Last Update Date | 2023-07-24 |