| NPI | 1669207478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIGHANI AHMED Owner 763-703-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |