Provider Demographics
NPI:1467082503
Name:NOURISHING GENERATIONS EDUCATIONAL PROJECT
Entity Type:Organization
Organization Name:NOURISHING GENERATIONS EDUCATIONAL PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HARALSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA NC
Authorized Official - Phone:831-419-0759
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:CA
Mailing Address - Zip Code:95018-0095
Mailing Address - Country:US
Mailing Address - Phone:831-419-0759
Mailing Address - Fax:831-335-3245
Practice Address - Street 1:289 MADRONA RD
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:CA
Practice Address - Zip Code:95018-9652
Practice Address - Country:US
Practice Address - Phone:831-419-0759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)