| NPI | 1881587749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGIM TESHOME DEMEKE Managing Director 651-468-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |