| NPI | 1265888226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKET NNEKA ALLEN-FAHNBULLEH CEO 612-701-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 880516800033) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |