| NPI | 1578431268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN AHMED Owner 612-913-8134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-25 |