| NPI | 1497549398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED JAMA Director 952-652-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |