| NPI | 1316703507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABSHIR OMAR MAHAMED Chief Operating Officer 612-478-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |