| Sunshine Autism Care | |
|
9358 Ensign Ave S Bloomington MN 55438-1472 | |
| (206) 816-0521 | |
| (612) 460-6988 |
| Full Name | Sunshine Autism Care |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 9358 Ensign Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | Mahamed Salah (DIRECTOR) |
| Authorized Official Contact | 2068160521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Autism Care 9358 Ensign Ave S Bloomington MN 55438-1472 Ph: (206) 816-0521 | Sunshine Autism Care 9358 Ensign Ave S Bloomington MN 55438-1472 Ph: (206) 816-0521 |
| NPI Number | 1184389025 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184389025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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