# COURAGE CARE AUTISM THERAPY, LLC

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

## Provider details

- **NPI number:** 1538758248
- **Authorized official:** DARARTU AYYANTU ABDALLA (MANAGER)
- **Authorized official phone:** (651) 410-3124

## Contact information

- **Practice address:** 1821 UNIVERSITY AVE W STE 322, SAINT PAUL, MN 55104-2897
- **Practice address phone:** (651) 347-8474
- **Mailing address:** 1821 UNIVERSITY AVE W STE 322, SAINT PAUL, MN 55104-2897
- **Mailing address phone:** (651) 347-8474

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2021
- **Last updated:** 01/16/2021