| NPI | 1710263710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSUF BASHIR ALI Executive Director 651-200-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1090465) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1060964-1-ADC) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2018-08-30 |