Organization
NORTHEAST COLLEGE PREP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL PHILLIPS (DIRECTOR)
(612) 986-7089
Entity
Organization
Contact information
Practice address
2511 TAYLOR ST NE, MINNEAPOLIS, MN 55418-3731
(612) 248-8240
Mailing address
2511 TAYLOR ST NE, MINNEAPOLIS, MN 55418-3731
(612) 248-8240
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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