| NPI | 1356238372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA IBRAHIM Managing Member 952-465-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |