MINNESOTA EIDBI PROVIDER PROFILE
Impact Autism Sc
Present in current DHS directoryProfile not yet claimed
Public-source profile
Directory presence does not confirm openings, availability, endorsement or every licensing requirement. Confirm services directly with the provider and Minnesota DHS.
Locations and contact information
OFFICE 219Brooklyn Center, MN, 55430Last observed in DHS directory 9/24/2026
(619) 576-6887Public record status
MHCP directoryCurrently listed
NPI statusactive
DHS licenseNot yet matched
NPI authorized officialFadumo AdemOperational MangerCMS NPPES · high-confidence organization match
NPI enumeration, MHCP enrollment and DHS licensing are separate records. “Not yet matched” means AbilityOS has not connected an authoritative record; it does not mean the provider lacks one.
Sources
Minnesota DHS MHCP Provider DirectoryDoes your organization manage this profile?
Profile claiming and verified service details are coming next. Corrections will preserve the original source record and show who supplied each update.
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