Organization
HENNEPIN AUTISM CENTER INC
Active
Parent organization
HENNEPIN AUTISM CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENNEPIN AUTISM CENTER INC
Authorized official
SULEIMAN M ISSE (CEO)
(612) 259-7711
Entity
Organization
Contact information
Practice address
405 CEDAR AVE S, MINNEAPOLIS, MN 55454-1032
(612) 259-7711
(612) 545-3760
Mailing address
405 CEDAR AVE S, MINNEAPOLIS, MN 55454-1032
(612) 286-8091
(612) 545-3760
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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