Mendota Autism Center LLC
NPI #1720671944 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1720671944
- Entity Type
- Organization
- Organization Name
- Mendota Autism Center LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Feb 18, 2021
- Last Updated
- Feb 18, 2021
Practice Location
- Address
- 1044 DAKOTA DR
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55120-1266
- Phone
- (651) 214-8982
Authorized Official
- Name
- UBAH BADE
- Title
- OWNER
- Phone
- (651) 214-8982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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