Organization
WILLOW WELLNESS INC
Active
Other names
Willow Autism Center
Organization subpart
No
Provider details
NPI number
Authorized official
ZAK H (N/A)
(000) 000-0000
Entity
Organization
Contact information
Practice address
475 ETNA ST STE 24, SAINT PAUL, MN 55106-5935
(651) 300-4733
(651) 430-1750
Mailing address
475 ETNA ST STE 24, SAINT PAUL, MN 55106-5935
(651) 300-4733
(651) 430-1750
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
07/16/2026
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