| NPI | 1356013312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFIA FARAH ALI General Manager 763-329-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-10-11 |