Provider Demographics
NPI:1336391283
Name:CITY COLLEGIATE PUBLIC CHARTER SCHOOL
Entity Type:Organization
Organization Name:CITY COLLEGIATE PUBLIC CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-339-9494
Mailing Address - Street 1:2001 S ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1125
Mailing Address - Country:US
Mailing Address - Phone:202-339-9494
Mailing Address - Fax:202-339-9784
Practice Address - Street 1:2001 S ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1125
Practice Address - Country:US
Practice Address - Phone:202-339-9494
Practice Address - Fax:202-339-9784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)