| NPI | 1477004497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAADIO HASSAN ADEN CEO 763-703-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 863056000021) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2017-02-08 |