| NPI | 1881316461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANAD YUSSUF MOHAMED Owner 612-702-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |