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Organization

TWIN CITIES AUTISM CARE LLC

Active
Other names
Twin Cities Autism Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KAMALUDIN M MOALIM (CEO)
(612) 477-2516
Entity
Organization

Contact information

Practice address
1020 E 146TH ST STE 240, BURNSVILLE, MN 55337-6756
(612) 477-2516
Mailing address
1020 E 146TH ST STE 240, BURNSVILLE, MN 55337-6756
(612) 477-2516

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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