| NPI | 1689563173 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MOHAMED ABDIRASHID ABDILLAHI Owner 612-497-7704 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency | 
| Enumeration Date | 2025-06-30 | 
| Last Update Date | 2025-06-30 |