| NPI | 1790043925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIKAFAR ADEN Director 612-722-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1062302) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |