# HENNEPIN AUTISM CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENNEPIN AUTISM CENTER INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144038290
- **Legal business name:** HENNEPIN AUTISM CENTER INC
- **Authorized official:** SULEIMAN M ISSE (CEO)
- **Authorized official phone:** (612) 259-7711

## Contact information

- **Practice address:** 405 CEDAR AVE S, MINNEAPOLIS, MN 55454-1032
- **Practice address phone:** (612) 259-7711
- **Practice address fax:** (612) 545-3760
- **Mailing address:** 405 CEDAR AVE S, MINNEAPOLIS, MN 55454-1032
- **Mailing address phone:** (612) 286-8091
- **Mailing address fax:** (612) 545-3760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/20/2024
- **Last updated:** 12/20/2024