| Autistic Prestige Inc | |
|
2355 Highway 36 W Ste 400 Roseville MN 55113-3905 | |
| (651) 447-3671 | |
| Not Available |
| Full Name | Autistic Prestige Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2355 Highway 36 W Ste 400, Roseville, Minnesota |
| Authorized Official Name and Position | Ikran Ibrahim (OWNER) |
| Authorized Official Contact | 6514473671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autistic Prestige Inc 2355 Highway 36 W Ste 400 Roseville MN 55113-3905 Ph: () - | Autistic Prestige Inc 2355 Highway 36 W Ste 400 Roseville MN 55113-3905 Ph: (651) 447-3671 |
| NPI Number | 1801678214 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801678214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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