# GOLDENVILLE AUTISM CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134914690
- **Authorized official:** BAHJU SALAT (CEO/OWNER)
- **Authorized official phone:** (612) 839-7087

## Contact information

- **Practice address:** 1405 SILVER LAKE RD NW STE 16, NEW BRIGHTON, MN 55112-9309
- **Practice address phone:** (612) 839-7087
- **Mailing address:** 1405 SILVER LAKE RD NW STE 16, NEW BRIGHTON, MN 55112-9309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2025
- **Last updated:** 04/14/2025
