| NPI | 1275325458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN HUSSEIN Owner 651-242-7935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |