| NPI | 1801409099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDINAJIB YUSSUF Manager 612-806-9954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-03-28 |