Organization
WILLMAR AUTISM SERVICES LLC
Active
Other names
Willmar Autism Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASHAD GABOSE MSW, LGSW (CEO/PROGRAMM MANAGER)
(612) 570-5018
Entity
Organization
Contact information
Practice address
425 BENSON AVE SW, WILLMAR, MN 56201-3235
(612) 570-5018
Mailing address
425 BENSON AVE SW, WILLMAR, MN 56201-3235
(612) 570-5018
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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