| NPI | 1275124083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMAN MOHAMUD HASSAN CEO 612-806-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-03-03 |