| NPI | 1215542170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMO A ABDIKARIM CEO 952-228-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-09 |