NPI | 1881359065 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDULLAHI RAGE Ce0 612-407-8681 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-11-03 |
Last Update Date | 2024-12-14 |