Provider Demographics
NPI:1659746519
Name:MARY MCLEOD BETHUNE DAY ACADEMY PCS
Entity Type:Organization
Organization Name:MARY MCLEOD BETHUNE DAY ACADEMY PCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACII
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-459-4710
Mailing Address - Street 1:1404 JACKSON ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2951
Mailing Address - Country:US
Mailing Address - Phone:202-459-4710
Mailing Address - Fax:202-318-7588
Practice Address - Street 1:1404 JACKSON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2951
Practice Address - Country:US
Practice Address - Phone:202-459-4710
Practice Address - Fax:202-318-7588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)