| NPI | 1992634554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMI MUSTAPHA Owner 952-688-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-06-17 |