Organization
STARLIGHT AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANAS KUMBI (OWNER)
(612) 450-2856
Entity
Organization
Contact information
Practice address
1405 LILAC DR N STE 209, MINNEAPOLIS, MN 55422-4546
(612) 450-2856
Mailing address
1405 LILAC DR N STE 209, MINNEAPOLIS, MN 55422-4546
(612) 450-2856
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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