| NPI | 1902532351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMO SHARIFF MOHAMED Owner 612-999-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-01-06 |