Provider Demographics
NPI:1336493022
Name:CENTER CITY PUBLIC CHARTER SCHOOLA
Entity Type:Organization
Organization Name:CENTER CITY PUBLIC CHARTER SCHOOLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF ACADEMIC OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:202-589-0202
Mailing Address - Street 1:7 NEW YORK AVE NE
Mailing Address - Street 2:STE. 300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3325
Mailing Address - Country:US
Mailing Address - Phone:202-589-0202
Mailing Address - Fax:202-589-1629
Practice Address - Street 1:7 NEW YORK AVE NE
Practice Address - Street 2:STE. 300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3325
Practice Address - Country:US
Practice Address - Phone:202-589-0202
Practice Address - Fax:202-589-1629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty