Provider Demographics
NPI:1669183349
Name:CRYSTAL CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:CRYSTAL CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT OF STUDENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:KASEY
Authorized Official - Last Name:MASSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-937-4017
Mailing Address - Street 1:1100 MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63019-1207
Mailing Address - Country:US
Mailing Address - Phone:636-937-4017
Mailing Address - Fax:
Practice Address - Street 1:1100 MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:CRYSTAL CITY
Practice Address - State:MO
Practice Address - Zip Code:63019-1207
Practice Address - Country:US
Practice Address - Phone:636-937-4017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)