| NPI | 1689422057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MOHAMED Co Owner 612-867-5647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |