| Minnesota Autism Center | |
|
5710 Baker Rd Minnetonka MN 55345-5901 | |
| (952) 767-4200 | |
| (952) 767-4211 |
| Full Name | Minnesota Autism Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5710 Baker Rd, Minnetonka, Minnesota |
| Authorized Official Name and Position | Shannon Kantrowitz (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 6127911767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Autism Center 5710 Baker Rd Minnetonka MN 55345-5901 Ph: (952) 767-4200 | Minnesota Autism Center 5710 Baker Rd Minnetonka MN 55345-5901 Ph: (952) 767-4200 |
| NPI Number | 1821362450 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821362450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Minnesota) | Primary |
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