| NPI | 1942945514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GULED MOHAMOUD CEO 612-636-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |