Provider Demographics
NPI:1912184318
Name:SUCCESS SCHOOL
Entity Type:Organization
Organization Name:SUCCESS SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-974-4959
Mailing Address - Street 1:16011 N DYSART RD
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-4062
Mailing Address - Country:US
Mailing Address - Phone:623-974-4959
Mailing Address - Fax:623-974-4840
Practice Address - Street 1:16011 N DYSART RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4062
Practice Address - Country:US
Practice Address - Phone:623-974-4959
Practice Address - Fax:623-974-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)