| Autism Advantage Center | |
|
1111 112th Ave Ne Blaine MN 55434-0009 | |
| (651) 410-8833 | |
| Not Available |
| Full Name | Autism Advantage Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1111 112th Ave Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Suado A Esse (STAFF MANAGER) |
| Authorized Official Contact | 6514108833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Advantage Center 1111 112th Ave Ne Blaine MN 55434-0009 Ph: () - | Autism Advantage Center 1111 112th Ave Ne Blaine MN 55434-0009 Ph: (651) 410-8833 |
| NPI Number | 1215744214 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215744214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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