South Lake Autism Center L. L. C.
South Lake Autism Center L. L. C. is a Clinic/Center in Saint Paul, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2147 University Ave W Ste 109Saint Paul, MN 55114-1326
Phone: (617) 992-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1992521116 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shikhdoon Warsame — Owner · (617) 992-1536 |
| NPI enumerated | December 3, 2024 |
| Last updated in NPPES | February 17, 2025 |
| Certification date | February 17, 2025 |
| Mailing address | 2147 University Ave W Ste 108, Saint Paul, MN 55114-1326 |
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