Provider Demographics
NPI:1891985560
Name:INTERACT CENTER FOR THE VISUAL AND PERFORMING ARTS
Entity Type:Organization
Organization Name:INTERACT CENTER FOR THE VISUAL AND PERFORMING ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARTISTIC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALVIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-339-5145
Mailing Address - Street 1:212 3RD AVE N
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1431
Mailing Address - Country:US
Mailing Address - Phone:612-339-5145
Mailing Address - Fax:612-339-7762
Practice Address - Street 1:212 3RD AVE N
Practice Address - Street 2:SUITE 140
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-1431
Practice Address - Country:US
Practice Address - Phone:612-339-5145
Practice Address - Fax:612-339-7762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN810301-3-ADC261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care