| NPI | 1679114144 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | FAISAL AIDEED Owner 952-649-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |