Lakes Autism Center

NPI #1356013312 in Columbia Heights, Minnesota

Provider Information

NPI Number
1356013312
Entity Type
Organization
Organization Name
Lakes Autism Center
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Sep 29, 2021
Last Updated
Oct 11, 2021

Practice Location

Address
1069 GRANDVIEW WAY # 2-317
ZIP Code
55421-3376
Phone
(952) 221-6892

Authorized Official

Name
SAFIA FARAH ALI
Title
GENERAL MANAGER
Phone
(763) 329-4697

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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