Provider Demographics
NPI:1619221025
Name:COMMUNITY PREPARATORY SCHOOL
Entity Type:Organization
Organization Name:COMMUNITY PREPARATORY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF SCHOOL
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:401-521-9696
Mailing Address - Street 1:126 SOMERSET ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1034
Mailing Address - Country:US
Mailing Address - Phone:401-521-9696
Mailing Address - Fax:401-521-9715
Practice Address - Street 1:126 SOMERSET ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1034
Practice Address - Country:US
Practice Address - Phone:401-521-9696
Practice Address - Fax:401-521-9715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)