Organization
SUNSHINE AUTISM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHAMED SALAH RN (DIRECTOR)
(206) 816-0521
Entity
Organization
Contact information
Practice address
9358 ENSIGN AVE S, BLOOMINGTON, MN 55438-1472
(206) 816-0521
(612) 460-6988
Mailing address
9358 ENSIGN AVE S, BLOOMINGTON, MN 55438-1472
(206) 816-0521
(612) 460-6988
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/05/2021
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