Reva Health Autism Center LLC
Reva Health Autism Center LLC is a Clinic/Center in Fridley, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
880 Moore Lake Dr WFridley, MN 55432-6905
Phone: (763) 245-3686
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1417706243 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrea Sampson — Owner · (763) 245-3686 |
| NPI enumerated | May 14, 2024 |
| Last updated in NPPES | May 14, 2024 |
| Certification date | May 14, 2024 |
| Mailing address | 880 Moore Lake Dr W, Fridley, MN 55432-6905 |
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