Organization · Type 2 NPI

Minneapolis Autism Center LLC

Developmental Disabilities Clinic/Center · Minneapolis, MN

NPI number 1487400628 Active

Practice location

2100 1st Avenue South, Ste 101
Minneapolis, MN 55404-2552

Call (612) 999-5829 Map

Mailing address

2025 Nicollet Ave Ste 208
Minneapolis, MN 55404-2552

Specialties and licenses

Taxonomy	Code	License
Developmental Disabilities Clinic/Center Primary	261QD1600X	None listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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NPI record

NPI: 1487400628
Entity type: Organization (Type 2)
Issued: Apr 29, 2024
Last updated: May 29, 2024
Status: Active

Other names

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Minneapolis Autism Center LLC · doing business as
Minneapolis Autism Center LLC · doing business as

Authorized official

Suleban Mohamoud Hussein
CEO
(612) 999-5829

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About NPI 1487400628

Minneapolis Autism Center LLC's National Provider Identifier is 1487400628, issued on Apr 29, 2024. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Minneapolis, MN. The record was last updated on May 29, 2024.