| NPI | 1831714195 |
|---|---|
| Doing Business As | WILLMAR AUTISM SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | RASHAD GABOSE CEO/Programm Manager 612-570-5018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |