Provider Demographics
NPI:1700190691
Name:URBAN ACADEMY CHARTER SCHOOL
Entity Type:Organization
Organization Name:URBAN ACADEMY CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MONGSHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:LY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-215-9419
Mailing Address - Street 1:133 7TH ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-3377
Mailing Address - Country:US
Mailing Address - Phone:651-215-9419
Mailing Address - Fax:651-215-9571
Practice Address - Street 1:133 7TH ST E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-3377
Practice Address - Country:US
Practice Address - Phone:651-215-9419
Practice Address - Fax:651-215-9571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)