Organization
SHERIFFS YOUTH PROGRAMS OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN RICHARD HUBBARD MSW (CEO)
(651) 552-5742
Entity
Organization
Contact information
Practice address
2925 BUCKLEY WAY, INVER GROVE HEIGHTS, MN 55076-2018
(651) 552-5742
(651) 552-5741
Mailing address
2925 BUCKLEY WAY, INVER GROVE HEIGHTS, MN 55076-2018
(651) 552-5742
(651) 552-5741
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
1036867-1-CRF
MN
177F00000X
Lodging Provider
1042569-1-CRF
MN
177F00000X
Lodging Provider
806195-3-CRF
MN
177F00000X
Lodging Provider
DOC LIC FOR VOC SKIL
MN
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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