| NPI | 1801407234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN SABRY President 507-202-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |