| NPI | 1285279554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDILAHI A ABDILAHI Owner 612-426-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |