| NPI | 1306639182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRISAQ ABDULQADIR HUSSEIN Owner 651-363-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |