| NPI | 1952997918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULLAHI ADEN Director 612-735-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |