Organization
SUNRIDGE AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA IBRAHIM (MANAGING MEMBER)
(952) 465-5398
Entity
Organization
Contact information
Practice address
7525 MITCHELL RD STE 101, EDEN PRAIRIE, MN 55344-1900
(952) 465-5398
Mailing address
7525 MITCHELL RD STE 101, EDEN PRAIRIE, MN 55344-1900
(952) 465-5398
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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