Provider Demographics
NPI:1740655026
Name:PALADIN CAREER AND TECHNICAL HIGH SCHOOL
Entity type:Organization
Organization Name:PALADIN CAREER AND TECHNICAL HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-867-0814
Mailing Address - Street 1:308 NORTHTOWN DR NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-1039
Mailing Address - Country:US
Mailing Address - Phone:763-786-4799
Mailing Address - Fax:763-786-4798
Practice Address - Street 1:308 NORTHTOWN DR NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-1039
Practice Address - Country:US
Practice Address - Phone:763-786-4799
Practice Address - Fax:763-786-4798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-11
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)