| NPI | 1861203127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAJAR A ABDULLAHI Director 612-497-7807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-02-18 |