Organization
COLLEGE INTERNSHIP PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BERNARD (BOOKKEEPER)
(321) 259-1900
Entity
Organization
Contact information
Practice address
3716 N WICKHAM RD, SUITE 1, MELBOURNE, FL 32935-2324
(321) 259-1900
(321) 259-1907
Mailing address
3716 N WICKHAM RD, SUITE 1, MELBOURNE, FL 32935-2324
(321) 259-1900
(321) 259-1907
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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