Organization
GUARDIAN AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA ABDI MOHAMED (OWNER)
(612) 886-4781
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 336, SAINT PAUL, MN 55104-2876
(612) 886-4781
Mailing address
1821 UNIVERSITY AVE W STE 336, SAINT PAUL, MN 55104-2876
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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