Organization
INFINITE AUTISM SUPPORT AND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRAHMAN ALI (OWNER)
(612) 346-6053
Entity
Organization
Contact information
Practice address
501 DALE ST N STE 205, SAINT PAUL, MN 55103-1914
(612) 346-6053
Mailing address
501 DALE ST N STE 205, SAINT PAUL, MN 55103-1914
(612) 346-6053
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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