| NPI | 1942057153 |
|---|---|
| Doing Business As | WILLOW AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | ZAKAREYA HASSAN Owner 651-285-7916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2025-04-15 |