| NPI | 1831960418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEEN MOHAMED Owner 952-393-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |