Organization
AUTISM SERVICES OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KNIGHT (MANAGING PARTNER)
(612) 405-3156
Entity
Organization
Contact information
Practice address
14663 MERCANTILE DR N, HUGO, MN 55038-4559
(612) 405-3156
Mailing address
14663 MERCANTILE DR N, HUGO, MN 55038-4559
(612) 405-3156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
08/22/2024
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