| NPI | 1982447264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEBREMARIAM ALEM GEBREMICAEL Owner 612-208-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |