Provider Demographics
NPI:1831476860
Name:EDWARD W. BROOKE 2 CHARTER SCHOOL
Entity Type:Organization
Organization Name:EDWARD W. BROOKE 2 CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:M. SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-325-7977
Mailing Address - Street 1:190 CUMMINS HWY
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-3722
Mailing Address - Country:US
Mailing Address - Phone:617-325-7977
Mailing Address - Fax:
Practice Address - Street 1:7 ELKINS ST
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-1601
Practice Address - Country:US
Practice Address - Phone:617-325-7977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)