| NPI | 1508681883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDURAHMAN HAMZA ABDURAHMAN Owner 651-354-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-02-14 |