| NPI | 1760155881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIGANI ABDIRAHMAN AHMED Executive Director 763-703-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| 261QD0000X Clinic/Center, Dental | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-11-11 |