Organization
HENNEPIN AUTISM CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIWAHAB MOHAMED SULEIMAN (PRESIDENT)
(612) 622-1611
Entity
Organization
Contact information
Practice address
2021 E HENNEPIN AVE STE LL20, MINNEAPOLIS, MN 55413-2738
(612) 662-1611
(651) 493-2570
Mailing address
2021 E HENNEPIN AVE STE LL20, MINNEAPOLIS, MN 55413-2738
(612) 662-1611
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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