| NPI | 1447348172 |
|---|---|
| Doing Business As | MAC MIDWEST |
| Doing Business As | MINNESOTA AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | RENITA WARE Revenue Cylce Manager 952-767-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-03-26 |