| Community Autism Therapy Center Llc | |
|
1650 W End Blvd Ste 100 Minneapolis MN 55416-5369 | |
| (952) 994-0909 | |
| Not Available |
| Full Name | Community Autism Therapy Center Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1650 W End Blvd Ste 100, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mowlid Farah (PRESIDENT) |
| Authorized Official Contact | 9529940909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Autism Therapy Center Llc 1650 W End Blvd Ste 100 Minneapolis MN 55416-5369 Ph: (952) 994-0909 | Community Autism Therapy Center Llc 1650 W End Blvd Ste 100 Minneapolis MN 55416-5369 Ph: (952) 994-0909 |
| NPI Number | 1013626555 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013626555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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