| NPI | 1649736513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED S. HUSSEIN CEO 763-453-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |