Organization
FAMILY PATHWAY AUTISM SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMO MOHAMUD (OWNER)
(619) 817-1831
Entity
Organization
Contact information
Practice address
4020 MINNEHAHA AVE, STE 2070, MINNEAPOLIS, MN 55406
(619) 817-1931
Mailing address
4020 MINNEHAHA AVE, STE 2070, MINNEAPOLIS, MN 55406
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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