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Organization

RISE AUTISM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HANI A HASSAN (OWNER)
(763) 353-0763
Entity
Organization

Contact information

Practice address
1913 BROADWAY ST NE STE 100, MINNEAPOLIS, MN 55413-2627
(763) 353-0763
(763) 260-9898
Mailing address
1913 BROADWAY ST NE STE 100, MINNEAPOLIS, MN 55413-2627
(763) 353-0763
(763) 260-9898

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006039380
MN
Enumeration date
10/09/2024
Last updated
11/11/2025
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