| NPI | 1275390288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MOHAMUD ISMAIL Director 612-998-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |