| NPI | 1790501872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSUF A MOHAMED CEO/Owner 763-203-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2025-04-09 |