| NPI | 1568079374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZAD QORANE President 612-481-9981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |