Provider Demographics
NPI:1770033136
Name:VILLAGE PREPARATORY SCHOOL III
Entity Type:Organization
Organization Name:VILLAGE PREPARATORY SCHOOL III
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-456-2086
Mailing Address - Street 1:3615 SUPERIOR AVE E BLDG 44
Mailing Address - Street 2:SUITE 4403A
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-4138
Mailing Address - Country:US
Mailing Address - Phone:216-456-2086
Mailing Address - Fax:216-391-4770
Practice Address - Street 1:2220 W. 93RD ST.
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102
Practice Address - Country:US
Practice Address - Phone:216-456-2086
Practice Address - Fax:216-391-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty