| NPI | 1790599934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMAKE MOHAMED Owner 612-423-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |