| NPI | 1154165595 |
|---|---|
| Former Legal Business Name | ENLIGHT AUTISM CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | SUAD YUSUF ISMAIL CEO 612-570-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-07-01 |