Organization · Type 2 NPI

Reva Health Autism Center LLC

Clinic/Center · Fridley, MN

NPI number 1417706243 Active

Practice location

880 Moore Lake Dr W
Fridley, MN 55432-6905

Call (763) 245-3686 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1417706243

Reva Health Autism Center LLC's National Provider Identifier is 1417706243, issued on May 14, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fridley, MN. The record was last updated on May 14, 2024.