| Hennepin Autism Center Inc | |
|
2021 E Hennepin Ave Ste Ll20 Minneapolis MN 55413-2738 | |
| (612) 662-1611 | |
| (651) 493-2570 |
| Full Name | Hennepin Autism Center Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2021 E Hennepin Ave Ste Ll20, Minneapolis, Minnesota |
| Authorized Official Name and Position | Abdiwahab Mohamed Suleiman (PRESIDENT) |
| Authorized Official Contact | 6126221611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennepin Autism Center Inc 2021 E Hennepin Ave Ste Ll20 Minneapolis MN 55413-2738 Ph: (612) 662-1611 | Hennepin Autism Center Inc 2021 E Hennepin Ave Ste Ll20 Minneapolis MN 55413-2738 Ph: (612) 662-1611 |
| NPI Number | 1275138489 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275138489 | NPI | - | NPPES |
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