| Hennepin Autism Center Inc | |
|
405 Cedar Ave S Minneapolis MN 55454-1032 | |
| (612) 259-7711 | |
| (612) 545-3760 |
| Full Name | Hennepin Autism Center Inc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 405 Cedar Ave S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Suleiman M Isse (CEO) |
| Authorized Official Contact | 6122597711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennepin Autism Center Inc 405 Cedar Ave S Minneapolis MN 55454-1032 Ph: (612) 286-8091 | Hennepin Autism Center Inc 405 Cedar Ave S Minneapolis MN 55454-1032 Ph: (612) 259-7711 |
| NPI Number | 1144038290 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144038290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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