Organization
RIVER BLOOM AUTISM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHAD ALI (PARTNER)
(720) 771-2997
Entity
Organization
Contact information
Practice address
618 9TH AVE S APT 318, MINNEAPOLIS, MN 55415-4609
(720) 771-2997
Mailing address
618 9TH AVE S APT 318, MINNEAPOLIS, MN 55415-4609
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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