| NPI | 1588490874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRIZAK AHMED JAMA Manager 763-340-5049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |