| NPI | 1942057153 |
|---|---|
| Doing Business As | WILLOW AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | ZAKAREYA HASSAN CEO 651-300-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2026-01-19 |