| NPI | 1760147045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRAHMAN SHIRE President 612-227-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |