Bright Star Autism Center Llc | |
121 Washington Ave N Fl 2 Unit 207 Minneapolis MN 55401 | |
(612) 275-1492 | |
Not Available |
Full Name | Bright Star Autism Center Llc |
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Speciality | Clinic/center |
Location | 121 Washington Ave N Fl 2 Unit 207, Minneapolis, Minnesota |
Authorized Official Name and Position | Mohamed Ali Awdeer (OWNER) |
Authorized Official Contact | 6122751492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bright Star Autism Center Llc 121 Washington Ave N Fl 2 Unit 207 Minneapolis MN 55401 Ph: (612) 275-1492 | Bright Star Autism Center Llc 121 Washington Ave N Fl 2 Unit 207 Minneapolis MN 55401 Ph: (612) 275-1492 |
NPI Number | 1104623461 |
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Provider Enumeration Date | 02/25/2025 |
Last Update Date | 02/25/2025 |
Identifier | Type | State | Issuer |
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1104623461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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