Provider Demographics
NPI:1336524842
Name:RENEW MCDONOGH CITY PARK ACADEMY
Entity Type:Organization
Organization Name:RENEW MCDONOGH CITY PARK ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:504-669-8079
Mailing Address - Street 1:3649 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2549
Mailing Address - Country:US
Mailing Address - Phone:504-281-0385
Mailing Address - Fax:888-315-2672
Practice Address - Street 1:3649 LAUREL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2549
Practice Address - Country:US
Practice Address - Phone:504-281-0385
Practice Address - Fax:888-315-2672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-26
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAEWZ7251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)