NPI | 1962210856 |
---|---|
Entity Type | Organization |
Authorized Contact | UBAH MAHAMED HIRSI Mental Health Professional 952-564-8226 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-12-23 |
Last Update Date | 2025-06-26 |