NPI 1174808570
Sobriety High
Practice location
- Address
- 12156 Nicollet Ave, Burnsville, MN 55337-1647
- Phone
- (651) 757-0535
- Fax
- (952) 224-0917
Authorised official
- Name
- Paul McGlynn
- Title
- Executive Director
- Phone
- (651) 757-0535
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1174808570
- Entity type
- Organization
- NPI issued
- 17 Oct 2011
- Record last updated
- 17 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.