| NPI | 1285359042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRAHMAN MOHAMUD ABDULLAHI Executive Administrator 612-483-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |