Organization
COURAGE CARE AUTISM THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARARTU AYYANTU ABDALLA (MANAGER)
(651) 410-3124
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 322, SAINT PAUL, MN 55104-2897
(651) 347-8474
Mailing address
1821 UNIVERSITY AVE W STE 322, SAINT PAUL, MN 55104-2897
(651) 347-8474
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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