Mercy Autism Center LLC
NPI #1093593816 in St Anthony, Minnesota
Provider Information
- NPI Number
- 1093593816
- Entity Type
- Organization
- Organization Name
- Mercy Autism Center LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 21, 2023
- Last Updated
- Sep 21, 2023
Practice Location
- Address
- 2817 ANTHONY LN S STE 214
- City
- St Anthony
- State
- Minnesota
- ZIP Code
- 55418-2885
- Phone
- (612) 414-8698
Authorized Official
- Name
- ABDULKHALIQ OSMAN
- Title
- OWNER
- Phone
- (612) 886-5838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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