# RIVER BLOOM AUTISM CARE LLC

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

## Provider details

- **NPI number:** 1770470049
- **Authorized official:** MAHAD ALI (PARTNER)
- **Authorized official phone:** (720) 771-2997

## Contact information

- **Practice address:** 618 9TH AVE S APT 318, MINNEAPOLIS, MN 55415-4609
- **Practice address phone:** (720) 771-2997
- **Mailing address:** 618 9TH AVE S APT 318, MINNEAPOLIS, MN 55415-4609

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2025
- **Last updated:** 06/19/2025