| NPI | 1881373405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAN AHMED ABDIHOOSH Director 612-644-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-09-12 |