| NPI | 1396554085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISKY ABSHIR Owner 612-508-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-08 |