Provider Demographics
NPI:1598223935
Name:CESAR CHAVEZ COLLEGE PREPARATORY SCHOOL
Entity Type:Organization
Organization Name:CESAR CHAVEZ COLLEGE PREPARATORY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-299-1007
Mailing Address - Street 1:1500 W 3RD AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2883
Mailing Address - Country:US
Mailing Address - Phone:614-299-1007
Mailing Address - Fax:
Practice Address - Street 1:2400 MOCK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-5300
Practice Address - Country:US
Practice Address - Phone:614-299-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)