Discovery Place Autism Center LLC
NPI #1043005366 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1043005366
- Entity Type
- Organization
- Organization Name
- Discovery Place Autism Center LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 9, 2025
- Last Updated
- Oct 1, 2025
Practice Location
- Address
- 1701 AMERICAN BLVD E STE 7
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-1415
- Phone
- (612) 816-5623
Authorized Official
- Name
- IDIL A FARAH
- Title
- CLINICAL DIRECTOR
- Phone
- (612) 816-5623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center |
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