| Pathways Autism Center Llc | |
|
2021 E Hennepin Ave Ste 155 Minneapolis MN 55413-1772 | |
| (612) 481-0934 | |
| Not Available |
| Full Name | Pathways Autism Center Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2021 E Hennepin Ave Ste 155, Minneapolis, Minnesota |
| Authorized Official Name and Position | Ibrahim Abumunye (CEO) |
| Authorized Official Contact | 6124810934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Autism Center Llc 1738 Newbrighton Blvd Suite 104-223 Minneapolis MN 55413 Ph: (612) 481-0934 | Pathways Autism Center Llc 2021 E Hennepin Ave Ste 155 Minneapolis MN 55413-1772 Ph: (612) 481-0934 |
| NPI Number | 1952945180 |
|---|---|
| Provider Enumeration Date | 10/31/2019 |
| Last Update Date | 10/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952945180 | NPI | - | NPPES |
| 01 | Medicaid | MN |
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