| NPI | 1801429915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN MOHAMED Executive Director 612-666-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |