| NPI | 1376149336 |
|---|---|
| Former Legal Business Name | ALLIANCE WELLNESS AUTISM CENTER LIMITED |
| Entity Type | Organization |
| Authorized Contact | KOWSAR SHKISH SHAFIE Owner 952-652-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2024-06-14 |