Provider Demographics
NPI:1376922104
Name:SPECIALIZED EDUCATION OF MD, INC.
Entity Type:Organization
Organization Name:SPECIALIZED EDUCATION OF MD, INC.
Other - Org Name:HIGH ROAD SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-369-8699
Mailing Address - Street 1:385 OXFORD VALLEY RD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7700
Mailing Address - Country:US
Mailing Address - Phone:215-369-8699
Mailing Address - Fax:215-369-8690
Practice Address - Street 1:12050 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1247
Practice Address - Country:US
Practice Address - Phone:301-210-4860
Practice Address - Fax:301-210-4863
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPECIALIZED EDUCATION HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)