Organization
COMMUNITY AUTISM THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOWLID FARAH OWNER (PRESIDENT)
(952) 994-0909
Entity
Organization
Contact information
Practice address
1650 W END BLVD STE 100, MINNEAPOLIS, MN 55416-5369
(952) 994-0909
Mailing address
1650 W END BLVD STE 100, MINNEAPOLIS, MN 55416-5369
(952) 994-0909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
02/01/2023
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