| NPI | 1639771033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEYD S HUSSEIN Owner 763-760-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |