| NPI | 1942094727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED AHMED Executive/Owner 952-564-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-10-30 |