| NPI | 1992445332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADAR ABDULLE Director 612-800-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |