Provider Demographics
NPI:1093955890
Name:DREAMLAND ACADEMY CHARTER SCHOOL OF PERFORMING ARTS AND COMMUNICATION
Entity Type:Organization
Organization Name:DREAMLAND ACADEMY CHARTER SCHOOL OF PERFORMING ARTS AND COMMUNICATION
Other - Org Name:WILSON DEVELOPMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-562-9278
Mailing Address - Street 1:5615 GEYER SPRINGS RD
Mailing Address - Street 2:P.O. BOX 19097
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-1812
Mailing Address - Country:US
Mailing Address - Phone:501-562-9278
Mailing Address - Fax:501-562-9279
Practice Address - Street 1:5615 GEYER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-1812
Practice Address - Country:US
Practice Address - Phone:501-562-9278
Practice Address - Fax:501-562-9279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency