| NPI | 1902634470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULATIF HAMZA ABDULRAHMAN Director 651-366-9972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-09-03 |