Adams Autism Center

NPI #1013656982 in Blaine, Minnesota

Provider Information

NPI Number
1013656982
Entity Type
Organization
Organization Name
Adams Autism Center
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 31, 2022
Last Updated
May 31, 2022

Practice Location

Address
11070 FERGUS ST NE UNIT B
City
Blaine
ZIP Code
55449-5072
Phone
(612) 401-3484

Authorized Official

Name
ILYAS JAMA, OWNER
Title
OWNER
Phone
(612) 401-3484

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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