| NPI | 1528441821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEISAL MOHAMED ELMI Owner 763-227-9957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2017-10-26 |