Organization
HERO AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANAD YUSSUF MOHAMED (OWNER)
(612) 702-9499
Entity
Organization
Contact information
Practice address
3040 4TH AVE S STE 106, MINNEAPOLIS, MN 55408-2409
(612) 702-9499
Mailing address
3040 4TH AVE S STE 106, MINNEAPOLIS, MN 55408-2409
(612) 702-9499
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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