| NPI | 1689409674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN HASSAN Owner 612-716-8019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2024-09-07 |