Organization
COMMUNITY INVOLVEMENT PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEREDITH S SMITH C.P.A. (FINANCE DIRECTOR)
(612) 362-4420
Entity
Organization
Contact information
Practice address
1600 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2617
(612) 362-4420
(612) 362-4479
Mailing address
1600 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2617
(612) 362-4420
(612) 362-4479
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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