Organization
NEW BRIGHTON AUTISM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISA HIRSI (OWNER)
(612) 298-8119
Entity
Organization
Contact information
Practice address
2500 NEW BRIGHTON BLVD, SUITE 110, SAINT ANTHONY, MN 55418
(612) 298-8119
Mailing address
2500 NEW BRIGHTON BLVD, SUITE 110, SAINT ANTHONY, MN 55418
(612) 298-8119
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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