| NPI | 1629758875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID AHMED MOHAMED CEO/President 952-212-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2024-06-04 |