Provider Demographics
NPI:1205241114
Name:NEW HEIGHTS SCHOOL
Entity type:Organization
Organization Name:NEW HEIGHTS SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-439-1962
Mailing Address - Street 1:614 MULBERRY ST W
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-4858
Mailing Address - Country:US
Mailing Address - Phone:651-439-1962
Mailing Address - Fax:651-439-0716
Practice Address - Street 1:614 MULBERRY ST W
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-4858
Practice Address - Country:US
Practice Address - Phone:651-439-1962
Practice Address - Fax:651-439-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management