Provider Demographics
NPI:1013224856
Name:E-STEM HIGH PUBLIC CHARTER SCHOOLS, INC
Entity Type:Organization
Organization Name:E-STEM HIGH PUBLIC CHARTER SCHOOLS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:L
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-748-9206
Mailing Address - Street 1:200 RIVER MARKET AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-1752
Mailing Address - Country:US
Mailing Address - Phone:501-324-9200
Mailing Address - Fax:501-324-9201
Practice Address - Street 1:200 RIVER MARKET AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-1752
Practice Address - Country:US
Practice Address - Phone:501-324-9200
Practice Address - Fax:501-324-9201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6047700251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)