| NPI | 1396513222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRISAQ KHALIF IBRAHIM Social Worker 218-790-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |