| Woodbury Leadership Academy 4228-07 | |
|
600 Weir Dr Woodbury MN 55125-1240 | |
| (612) 325-2268 | |
| Not Available |
| Full Name | Woodbury Leadership Academy 4228-07 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 Weir Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Mary F. Kelly (DIRECTOR OF SPECIAL EDUCATION) |
| Authorized Official Contact | 6123252268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbury Leadership Academy 4228-07 600 Weir Dr Woodbury MN 55125-1240 Ph: (612) 325-2268 | Woodbury Leadership Academy 4228-07 600 Weir Dr Woodbury MN 55125-1240 Ph: (612) 325-2268 |
| NPI Number | 1245691773 |
|---|---|
| Provider Enumeration Date | 03/11/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245691773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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