# CHILDWISE CENTER

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

## Provider details

- **NPI number:** 1336036045
- **Authorized official:** MOHAMUD FARAH (OWNER)
- **Authorized official phone:** (612) 836-7788

## Contact information

- **Practice address:** 3055 OLD HIGHWAY 8 \# 155, MINNEAPOLIS, MN 55418-2500
- **Practice address phone:** (612) 836-7788
- **Mailing address:** 3055 OLD HIGHWAY 8 \# 155, MINNEAPOLIS, MN 55418-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2025
- **Last updated:** 06/24/2025