Organization
AUTISM CENTER
Active
Other names
Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFATAH AHMED (PRESIDENT)
(612) 787-6329
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 219, SAINT PAUL, MN 55104-2892
(612) 787-6329
Mailing address
1821 UNIVERSITY AVE W STE 219, SAINT PAUL, MN 55104-2892
(612) 787-6329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/28/2020
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