Provider Demographics
NPI:1821367426
Name:RENEW- REINVENTING EDUCATION
Entity Type:Organization
Organization Name:RENEW- REINVENTING EDUCATION
Other - Org Name:SCITECH ACADEMY
Other - Org Type:Other Name
Authorized Official - Title/Position:SPECIAL PROGRAMS COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-444-3251
Mailing Address - Street 1:820 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-4940
Mailing Address - Country:US
Mailing Address - Phone:504-444-3251
Mailing Address - Fax:
Practice Address - Street 1:820 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-4940
Practice Address - Country:US
Practice Address - Phone:504-444-3251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RENEW- REINVENTING EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)