Sobriety High
NPI #1174808570 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1174808570
- Entity Type
- Organization
- Organization Name
- Sobriety High
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Oct 17, 2011
- Last Updated
- Oct 17, 2011
Practice Location
- Address
- 12156 NICOLLET AVE
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-1647
- Phone
- (651) 757-0535
Authorized Official
- Name
- PAUL MCGLYNN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (651) 757-0535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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