| NPI | 1225848989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYDRUS SAHAL CEO/Owner 952-737-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |