Provider Demographics
NPI:1659524288
Name:GALT JOINT UNION HIGH SCHOOL
Entity Type:Organization
Organization Name:GALT JOINT UNION HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CBO
Authorized Official - Prefix:MS
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:K
Authorized Official - Last Name:KILPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-745-3094
Mailing Address - Street 1:417 C ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-1958
Mailing Address - Country:US
Mailing Address - Phone:209-745-3094
Mailing Address - Fax:
Practice Address - Street 1:417 C ST
Practice Address - Street 2:SUITE B
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-1958
Practice Address - Country:US
Practice Address - Phone:209-745-3094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)