Provider Demographics
NPI:1508125501
Name:INCLUSIVE EDUCATION & COMMUNITY PARTNERSHIP
Entity Type:Organization
Organization Name:INCLUSIVE EDUCATION & COMMUNITY PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-985-4808
Mailing Address - Street 1:2323 ROOSEVELT BLVD APT 3
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-4480
Mailing Address - Country:US
Mailing Address - Phone:805-985-4808
Mailing Address - Fax:805-985-7623
Practice Address - Street 1:2323 ROOSEVELT BLVD APT 3
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-4480
Practice Address - Country:US
Practice Address - Phone:805-985-4808
Practice Address - Fax:805-985-7623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health