| 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 |