# MINNEAPOLIS AUTISM CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MINNEAPOLIS AUTISM CENTER LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487400628
- **Authorized official:** SULEBAN MOHAMOUD HUSSEIN (CEO)
- **Authorized official phone:** (612) 999-5829

## Contact information

- **Practice address:** 2100 1ST AVENUE SOUTH, STE 101, MINNEAPOLIS, MN 55404-2552
- **Practice address phone:** (612) 999-5829
- **Mailing address:** 2025 NICOLLET AVE STE 208, MINNEAPOLIS, MN 55404-2552

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2024
- **Last updated:** 05/29/2024