Organization
WOODBURY LEADERSHIP ACADEMY 4228-07
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY F. KELLY (DIRECTOR OF SPECIAL EDUCATION)
(612) 325-2268
Entity
Organization
Contact information
Practice address
600 WEIR DR, WOODBURY, MN 55125-1240
(612) 325-2268
Mailing address
600 WEIR DR, WOODBURY, MN 55125-1240
(612) 325-2268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
11/17/2016
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