| NPI | 1770304677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIMALIK MOHAMED SHURIYE Managing Owner 651-785-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |