NPI | 1992043145 |
---|---|
Entity Type | Organization |
Authorized Contact | SIYAD ABDULLAHI President/CEO 612-749-3314 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2013-01-23 |
Last Update Date | 2017-11-07 |