| NPI | 1417739822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GULED ABDIRAHMAN C0 Owner 612-298-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |