| NPI | 1700624855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUEYB GOBANA YOUB Director 612-207-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |