| NPI | 1568293793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL MOHAMED ABDI Authorized Person 612-806-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-10-09 |