| NPI | 1477375863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAID MOHAMUD Owner 612-946-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |