| Radiant Minds Autism Center Llc | |
|
18418 Greenstone Way Lakeville MN 55044-4843 | |
| (612) 423-8858 | |
| Not Available |
| Full Name | Radiant Minds Autism Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18418 Greenstone Way, Lakeville, Minnesota |
| Authorized Official Name and Position | Nimo Osman (OWNER) |
| Authorized Official Contact | 6124238858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Minds Autism Center Llc 18418 Greenstone Way Lakeville MN 55044-4843 Ph: (612) 423-8858 | Radiant Minds Autism Center Llc 18418 Greenstone Way Lakeville MN 55044-4843 Ph: (612) 423-8858 |
| NPI Number | 1215753744 |
|---|---|
| Provider Enumeration Date | 11/30/2024 |
| Last Update Date | 11/30/2024 |
| Certification Date | 11/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215753744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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