| NPI | 1760105910 |
|---|---|
| Doing Business As | CITY CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | SHAMS MOHAMED ALI President 612-598-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-09-26 |