Autism Advantage Center
Community/Behavioral Health in Blaine, MN. Organization (NPI-2).
NPI number1215744214
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1215744214
- Entity type
- Organization (NPI-2)
- Legal business name
- Autism Advantage Center
- Organization subpart
- No
- Enumeration date
- Dec 12, 2024
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1111 112th Ave NeBlaine, MN 55434-0009
Phone 651-410-8833
Mailing address
1111 112th Ave NeBlaine, MN 55434-0009
Authorized official
Suado A Esse
Staff Manager
6514108833
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All 13 Community/Behavioral Health Agency providers in Blaine · All 1,032 providers in Blaine
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