| NPI | 1760289292 |
|---|---|
| Doing Business As | LLC |
| Entity Type | Organization |
| Authorized Contact | BAHJO H MAHAMUD Owner 612-703-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-04 |