Organization
MENDOTA AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBAH BADE (OWNER)
(651) 214-8982
Entity
Organization
Contact information
Practice address
1044 DAKOTA DR, MENDOTA HEIGHTS, MN 55120-1266
(651) 214-8982
Mailing address
1044 DAKOTA DR, MENDOTA HEIGHTS, MN 55120-1266
(651) 214-8982
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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