| NPI | 1699540732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MOHAMED Owner 612-702-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |