| Mercy Autism Center Llc | |
|
2817 Anthony Ln S Ste 214 St Anthony MN 55418-2885 | |
| (612) 414-8698 | |
| Not Available |
| Full Name | Mercy Autism Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2817 Anthony Ln S Ste 214, St Anthony, Minnesota |
| Authorized Official Name and Position | Abdulkhaliq Osman (OWNER) |
| Authorized Official Contact | 6128865838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Autism Center Llc 2817 Anthony Ln S Ste 214 St Anthony MN 55418-2885 Ph: (612) 886-5838 | Mercy Autism Center Llc 2817 Anthony Ln S Ste 214 St Anthony MN 55418-2885 Ph: (612) 414-8698 |
| NPI Number | 1093593816 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093593816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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