Provider Demographics
NPI:1588470983
Name:ADIL CHILD THERAPY INC.
Entity type:Organization
Organization Name:ADIL CHILD THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FARTUN
Authorized Official - Middle Name:ABASS
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-481-6172
Mailing Address - Street 1:1990 BURNS AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55119-4971
Mailing Address - Country:US
Mailing Address - Phone:612-481-6172
Mailing Address - Fax:
Practice Address - Street 1:1990 BURNS AVE APT 107
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-4971
Practice Address - Country:US
Practice Address - Phone:612-481-6172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency