| Northern Autism Center | |
|
888 County Road D W Unit 120 New Brighton MN 55112-7593 | |
| (612) 735-1823 | |
| Not Available |
| Full Name | Northern Autism Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 888 County Road D W Unit 120, New Brighton, Minnesota |
| Authorized Official Name and Position | Abdullahi Aden (DIRECTOR) |
| Authorized Official Contact | 6127351823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Autism Center 888 County Road D W Unit 120 New Brighton MN 55112-7593 Ph: (612) 735-1823 | Northern Autism Center 888 County Road D W Unit 120 New Brighton MN 55112-7593 Ph: (612) 735-1823 |
| NPI Number | 1952997918 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952997918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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