Organization
EMPOWER AUTISM CENTER
Active
Other names
Empower Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
FADUMA ADEED (MANAGER)
(612) 545-6330
Entity
Organization
Contact information
Practice address
3490 LEXINGTON AVE N, SHOREVIEW, MN 55126-8074
(612) 545-6330
Mailing address
3490 LEXINGTON AVE N, SHOREVIEW, MN 55126-8074
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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