| NPI | 1811272545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED A WARSAME Chief Executive Officer 612-423-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |