Provider Demographics
NPI:1245107515
Name:WOODWARD LEADERSHIP ACADEMY
Entity type:Organization
Organization Name:WOODWARD LEADERSHIP ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA ED/PPS
Authorized Official - Phone:909-757-7531
Mailing Address - Street 1:1777 W BASE LINE ST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92411-1648
Mailing Address - Country:US
Mailing Address - Phone:909-757-7531
Mailing Address - Fax:909-757-7531
Practice Address - Street 1:1777 W BASE LINE ST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92411-1648
Practice Address - Country:US
Practice Address - Phone:909-757-7531
Practice Address - Fax:909-757-7531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)