Organization
GOLDENVILLE AUTISM CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHJU SALAT (CEO/OWNER)
(612) 839-7087
Entity
Organization
Contact information
Practice address
1405 SILVER LAKE RD NW STE 16, NEW BRIGHTON, MN 55112-9309
(612) 839-7087
Mailing address
1405 SILVER LAKE RD NW STE 16, NEW BRIGHTON, MN 55112-9309
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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