Provider Demographics
NPI:1265035067
Name:MINNESOTA CENTER FOR CHILDREN LLC
Entity Type:Organization
Organization Name:MINNESOTA CENTER FOR CHILDREN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RIDWAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDULLAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-666-0447
Mailing Address - Street 1:1201 37TH AVE N STE 100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2005
Mailing Address - Country:US
Mailing Address - Phone:612-666-0447
Mailing Address - Fax:
Practice Address - Street 1:1201 37TH AVE N STE 100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-2005
Practice Address - Country:US
Practice Address - Phone:612-666-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency