Organization · Type 2 NPI

South Lake Autism Center L. L. C.

Clinic/Center · St. Paul, MN

NPI number 1992521116 Active

Practice location

2147 University Ave W Ste 109
St. Paul, MN 55114-1326

Call (617) 992-1536 Map

Mailing address

2147 University Ave W Ste 108
St. Paul, MN 55114-1326

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).

2 other providers at this address

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About NPI 1992521116

South Lake Autism Center L. L. C.'s National Provider Identifier is 1992521116, issued on Dec 3, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Paul, MN. The record was last updated on Feb 17, 2025.