# TWIN CITIES AUTISM CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Twin Cities Autism Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407605645
- **Authorized official:** KAMALUDIN M MOALIM (CEO)
- **Authorized official phone:** (612) 477-2516

## Contact information

- **Practice address:** 1020 E 146TH ST STE 240, BURNSVILLE, MN 55337-6756
- **Practice address phone:** (612) 477-2516
- **Mailing address:** 1020 E 146TH ST STE 240, BURNSVILLE, MN 55337-6756
- **Mailing address phone:** (612) 477-2516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2024
- **Last updated:** 05/17/2024