Foundations Autism Center, Pllc

NPI #1255041992 in Sartell, Minnesota

Provider Information

NPI Number
1255041992
Entity Type
Organization
Organization Name
Foundations Autism Center, Pllc
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Dec 5, 2022
Last Updated
Dec 5, 2022

Practice Location

Address
1908 KRUCHTEN CT S
ZIP Code
56377-4645
Phone
(320) 290-0693

Authorized Official

Name
KRISTINE WAINRIGHT-TADYCH, LP
Title
CEO
Phone
(320) 290-0693

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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