| NPI | 1659027092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATMA ABDULLAH Owner 612-644-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-10-04 |