# COMMUNITY AUTISM THERAPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013626555
- **Authorized official:** MOWLID FARAH OWNER (PRESIDENT)
- **Authorized official phone:** (952) 994-0909

## Contact information

- **Practice address:** 1650 W END BLVD STE 100, MINNEAPOLIS, MN 55416-5369
- **Practice address phone:** (952) 994-0909
- **Mailing address:** 1650 W END BLVD STE 100, MINNEAPOLIS, MN 55416-5369
- **Mailing address phone:** (952) 994-0909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2022
- **Last updated:** 02/01/2023