Organization
MINNESOTA INTERNSHIP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BYRNE (EXECUTIVE DIRECTOR)
(612) 414-4458
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W, SUITE #271, SAINT PAUL, MN 55104-2801
(651) 288-3152
Mailing address
2233 UNIVERSITY AVE W, SUITE #450, SAINT PAUL, MN 55114-1600
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
4102-07
MN
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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