Provider Demographics
NPI:1578692778
Name:TOWN OF STONINGTON PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:TOWN OF STONINGTON PUBLIC SCHOOLS
Other - Org Name:STONINGTON PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWK
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:860-572-0506
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:OLD MYSTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06372-0479
Mailing Address - Country:US
Mailing Address - Phone:860-572-0506
Mailing Address - Fax:860-572-9967
Practice Address - Street 1:49 NO. STONINGTON RD.
Practice Address - Street 2:
Practice Address - City:OLD MYSTIC
Practice Address - State:CT
Practice Address - Zip Code:06372
Practice Address - Country:US
Practice Address - Phone:860-572-0506
Practice Address - Fax:860-572-9967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)