Provider Demographics
NPI:1326439340
Name:STEAM ACADEMY OF WARREN
Entity Type:Organization
Organization Name:STEAM ACADEMY OF WARREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:330-394-3200
Mailing Address - Street 1:261 ELM RD NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-5003
Mailing Address - Country:US
Mailing Address - Phone:330-394-3200
Mailing Address - Fax:330-394-3600
Practice Address - Street 1:261 ELM RD NE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-5003
Practice Address - Country:US
Practice Address - Phone:330-394-3200
Practice Address - Fax:330-394-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)