| NPI | 1710876479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOWSARINA AHMED Owner, Clinical Director 612-799-9656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |