Organization
WATERSHED HIGH SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY SPARKS (EXECUTIVE DIRECTOR)
(952) 649-0485
Entity
Organization
Contact information
Practice address
6541 16TH AVE S, RICHFIELD, MN 55423-1751
(612) 871-4363
Mailing address
6541 16TH AVE S, RICHFIELD, MN 55423-1751
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
22317
MN
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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