NPI | 1932942372 |
---|---|
Former Legal Business Name | N/A |
Entity Type | Organization |
Authorized Contact | BASHIR ALI Executive Director 651-983-2666 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2024-06-14 |
Last Update Date | 2025-03-18 |