| NPI | 1376349613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIMALIK MOHAMED Owner 612-402-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |