| NPI | 1255144317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAFIA A JAMA Managing Owner 763-732-2594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |