Provider Demographics
NPI:1851432686
Name:THE RAVEN SCHOOL GULF COAST TRADE CENTER
Entity Type:Organization
Organization Name:THE RAVEN SCHOOL GULF COAST TRADE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-344-7851
Mailing Address - Street 1:143 FOREST SERVICE ROAD 233
Mailing Address - Street 2:
Mailing Address - City:NEW WAVERLY
Mailing Address - State:TX
Mailing Address - Zip Code:77358-3945
Mailing Address - Country:US
Mailing Address - Phone:936-344-7851
Mailing Address - Fax:
Practice Address - Street 1:143 FOREST SERVICE ROAD 233
Practice Address - Street 2:
Practice Address - City:NEW WAVERLY
Practice Address - State:TX
Practice Address - Zip Code:77358-3945
Practice Address - Country:US
Practice Address - Phone:936-344-7851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)