| NPI | 1801164108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM ISSE ALI Owner/Presedent 612-313-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1049972-4-ADC) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-14 |