| NPI | 1770389934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ABDI ALI Owner 612-250-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |