Provider Demographics
NPI:1609066760
Name:HOWELL MOUNTAIN SCHOOL
Entity Type:Organization
Organization Name:HOWELL MOUNTAIN SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-965-2423
Mailing Address - Street 1:525 WHITE COTTAGE RD N
Mailing Address - Street 2:
Mailing Address - City:ANGWIN
Mailing Address - State:CA
Mailing Address - Zip Code:94508-9768
Mailing Address - Country:US
Mailing Address - Phone:707-965-2423
Mailing Address - Fax:707-965-0834
Practice Address - Street 1:525 WHITE COTTAGE RD N
Practice Address - Street 2:
Practice Address - City:ANGWIN
Practice Address - State:CA
Practice Address - Zip Code:94508-9768
Practice Address - Country:US
Practice Address - Phone:707-965-2423
Practice Address - Fax:707-965-0834
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOYDE WOLFE JUVENILE JUSTICE NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)