| NPI | 1174856017 |
|---|---|
| Other Name | AUTISM SPECTRUM DISORDER PROGRAM |
| Entity Type | Organization |
| Authorized Contact | KATE U ONYENEHO CEO 612-236-1535 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MN 365664) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MN 365664) |
| 253Z00000X In Home Supportive Care (Licence: MN 365664) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |