Provider Demographics
NPI:1437295375
Name:PROJECT KIDS-ECI DALLAS INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PROJECT KIDS-ECI DALLAS INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCROGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-794-4505
Mailing Address - Street 1:912 S ERVAY ST
Mailing Address - Street 2:THIRD FLOOR ROOM 307
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-6420
Mailing Address - Country:US
Mailing Address - Phone:972-794-4505
Mailing Address - Fax:972-794-4573
Practice Address - Street 1:911 N MOROCCO AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1249
Practice Address - Country:US
Practice Address - Phone:972-794-4569
Practice Address - Fax:972-794-4573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)