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Organization
HENNEPIN AUTISM CENTER INC
Active
Organization
HENNEPIN AUTISM CENTER INC
Active
Parent organization
HENNEPIN AUTISM CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENNEPIN AUTISM CENTER INC
Authorized official
SULEIMAN M ISSE (CEO)
(612) 259-7711
Entity
Organization
Contact information
Practice address
405 CEDAR AVE S, MINNEAPOLIS, MN 55454-1032
(612) 259-7711
(612) 545-3760
Mailing address
405 CEDAR AVE S, MINNEAPOLIS, MN 55454-1032
(612) 286-8091
(612) 545-3760
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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