Organization
MERCY AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULKHALIQ OSMAN (OWNER)
(612) 886-5838
Entity
Organization
Contact information
Practice address
2817 ANTHONY LN S STE 214, ST ANTHONY, MN 55418-2885
(612) 414-8698
Mailing address
2817 ANTHONY LN S STE 214, ST ANTHONY, MN 55418-2885
(612) 886-5838
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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