# WILLOW WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Autism Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942057153
- **Authorized official:** ZAK H (N/A)
- **Authorized official phone:** (000) 000-0000

## Contact information

- **Practice address:** 475 ETNA ST STE 24, SAINT PAUL, MN 55106-5935
- **Practice address phone:** (651) 300-4733
- **Practice address fax:** (651) 430-1750
- **Mailing address:** 475 ETNA ST STE 24, SAINT PAUL, MN 55106-5935
- **Mailing address phone:** (651) 300-4733
- **Mailing address fax:** (651) 430-1750

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2024
- **Last updated:** 07/16/2026