| NPI | 1942981972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUWARIYA M AHMED Chief Executive Officer 763-657-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |