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 |