# COLLEGE INTERNSHIP PROGRAM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679736656
- **Authorized official:** CAROL BERNARD (BOOKKEEPER)
- **Authorized official phone:** (321) 259-1900

## Contact information

- **Practice address:** 3716 N WICKHAM RD, SUITE 1, MELBOURNE, FL 32935-2324
- **Practice address phone:** (321) 259-1900
- **Practice address fax:** (321) 259-1907
- **Mailing address:** 3716 N WICKHAM RD, SUITE 1, MELBOURNE, FL 32935-2324
- **Mailing address phone:** (321) 259-1900
- **Mailing address fax:** (321) 259-1907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 07/09/2008