Impact Autism SC
Impact Autism SC is an Early Intervention Provider Agency in Brooklyn Center, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
6160 Summit Dr N Ste 200Brooklyn Center, MN 55430-2181
Phone: (619) 576-6887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1548083769 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fadumo Adem — Operational Manger · (619) 576-6887 |
| NPI enumerated | November 5, 2024 |
| Last updated in NPPES | November 5, 2024 |
| Certification date | November 5, 2024 |
| Mailing address | 6160 Summit Dr N, Suite 200 Office #219, Brooklyn Center, MN 55430 |