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 |