Organization
SAFE HAVEN AUTISM CENTER LLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED MOHAMUD KHALIF (CO-OWNER)
(651) 428-3783
Entity
Organization
Contact information
Practice address
9000 CITY PLACE BLVD UNIT 2506, WOODBURY, MN 55125-5519
(651) 428-3783
Mailing address
9000 CITY PLACE BLVD UNIT 2506, WOODBURY, MN 55125-5519
(651) 428-3783
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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