| Polaris Autism Center | |
|
1650 W End Blvd Ste 100 St Louis Park MN 55416-5369 | |
| (952) 228-1299 | |
| Not Available |
| Full Name | Polaris Autism Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1650 W End Blvd Ste 100, St Louis Park, Minnesota |
| Authorized Official Name and Position | Markabo Hassan (DIRECTOR) |
| Authorized Official Contact | 9522281299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polaris Autism Center 1650 W End Blvd Ste 100 St Louis Park MN 55416-5369 Ph: () - | Polaris Autism Center 1650 W End Blvd Ste 100 St Louis Park MN 55416-5369 Ph: (952) 228-1299 |
| NPI Number | 1073331674 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073331674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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