| NPI | 1699480996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI ROSE EZIKE- FATORMA CEO/Owner 612-702-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |