Organization
ADAMS AUTISM CENTER
Active
Organization
ADAMS AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYAS JAMA OWNER (OWNER)
(612) 401-3484
Entity
Organization
Contact information
Practice address
11070 FERGUS ST NE UNIT B, BLAINE, MN 55449-5072
(612) 401-3484
Mailing address
11070 FERGUS ST NE UNIT B, BLAINE, MN 55449-5072
(612) 401-3484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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