| NPI | 1548152184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISA ALI Owner 612-703-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |