Organization
SAINT PAUL AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MAHFOUZ (CEO)
(651) 329-7465
Entity
Organization
Contact information
Practice address
1400 INTERLACHEN CIR, SAINT PAUL, MN 55125-8859
(651) 703-5574
Mailing address
1400 INTERLACHEN CIR, SAINT PAUL, MN 55125-8859
(651) 703-5574
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
07/07/2024
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