NPI | 1841002151 |
---|---|
Entity Type | Organization |
Authorized Contact | SIAD WARSAME Owner 612-607-4494 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2025-01-23 |
Last Update Date | 2025-01-23 |