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1962196717
FOUNTAIN AUTISM CENTER LLC
MINNEAPOLIS, MN
NPI
1962196717
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Entity Type
Organization
Authorized Contact
SACDIYO ABDI ALI
CEO
612-636-8746
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
FOUNTAIN AUTISM CENTER LLC
3628 PARK AVE
MINNEAPOLIS, MN 55407-2533
Phone number: 612-636-8746
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Mailing Address
FOUNTAIN AUTISM CENTER LLC
3628 PARK AVE
MINNEAPOLIS, MN 55407-2533
Phone number:
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