OrganizationActive
Adams Autism Center
NPI 1013656982 · Clinical Social Worker · Blaine, MN
Provider details
- NPI number
- 1013656982
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ilyas Jama, Owner(612) 401-3484
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
11070 Fergus St Ne Unit B
Blaine, MN 55449-5072
Phone: (612) 401-3484
Approximate (ZIP-level) locationGet directions
Mailing address
11070 Fergus St Ne Unit B
Blaine, MN 55449-5072
Registry dates
- Enumerated
- 2022-05-31
- Last updated
- 2022-05-31
- Certified
- 2022-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.