| NPI | 1992520233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MULKI MAYE CEO 612-707-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |