| NPI | 1811775166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEQA ABDULQADIR FARAH Chief Operating Officer 612-814-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |