| NPI | 1427602614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD SAAD Payroll Manager 612-325-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |