| NPI | 1679951669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYSAL SAYID CEO 763-913-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 785535400022) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |