Provider Demographics
NPI:1407118821
Name:JOSEPH S CLARK PREPARATORY HIGH SCHOOL
Entity Type:Organization
Organization Name:JOSEPH S CLARK PREPARATORY HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOESPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-952-3613
Mailing Address - Street 1:1301 N DERBIGNY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-2213
Mailing Address - Country:US
Mailing Address - Phone:504-373-6202
Mailing Address - Fax:
Practice Address - Street 1:1301 N DERBIGNY ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-2213
Practice Address - Country:US
Practice Address - Phone:504-373-6202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRSTLINE SCHOOLS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)