Provider Demographics
NPI:1043777311
Name:INTELLECTUAL VIRTUES ACADEMY OF LONG BEACH
Entity Type:Organization
Organization Name:INTELLECTUAL VIRTUES ACADEMY OF LONG BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-283-4456
Mailing Address - Street 1:1637 LONG BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-1929
Mailing Address - Country:US
Mailing Address - Phone:562-283-4456
Mailing Address - Fax:
Practice Address - Street 1:1637 LONG BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-1929
Practice Address - Country:US
Practice Address - Phone:562-283-4456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)