| Pathway Autism Center | |
|
2104 Park Ave Ste 8 Minneapolis MN 55404-6607 | |
| (612) 501-6277 | |
| Not Available |
| Full Name | Pathway Autism Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2104 Park Ave Ste 8, Minneapolis, Minnesota |
| Authorized Official Name and Position | Nimo Ahmed (CEO) |
| Authorized Official Contact | 6125016277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Autism Center 2104 Park Ave Ste 8 Minneapolis MN 55404-6607 Ph: (612) 501-6277 | Pathway Autism Center 2104 Park Ave Ste 8 Minneapolis MN 55404-6607 Ph: (612) 501-6277 |
| NPI Number | 1588448591 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588448591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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