| NPI | 1912727645 |
|---|---|
| Doing Business As | SOS/FORT ROAD |
| Doing Business As | FORT ROAD |
| Entity Type | Organization |
| Authorized Contact | HIBAAKH HASSAN ALI Owner 612-532-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |