Unity Bridge Autis Center LLC
NPI #1154179059 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1154179059
- Entity Type
- Organization
- Organization Name
- Unity Bridge Autis Center LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- May 7, 2024
- Last Updated
- May 8, 2024
Practice Location
- Address
- 6200 EXCELSIOR BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-2730
- Phone
- (952) 923-0493
Authorized Official
- Name
- MOHAMED ABDIRAZAK HERSI
- Title
- OWNER
- Phone
- (952) 923-0493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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