| NPI | 1427868264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR A JAMA CEO/Owner 612-701-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |