| NPI | 1437524998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSE ADAM HUSSEIN President 612-822-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MN 261QC1500X) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |