Provider Demographics
NPI: | 1669711016 |
---|---|
Name: | PINELANDS REGIONAL BOARD OF EDUCATION |
Entity type: | Organization |
Organization Name: | PINELANDS REGIONAL BOARD OF EDUCATION |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | BUSINESS ADMINISTRATOR |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | STEPHEN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BRENNAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MBA, CPA |
Authorized Official - Phone: | 609-296-3106 |
Mailing Address - Street 1: | 520 NUGENTOWN RD |
Mailing Address - Street 2: | |
Mailing Address - City: | LITTLE EGG HARBOR TWP |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08087-3905 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 520 NUGENTOWN RD |
Practice Address - Street 2: | |
Practice Address - City: | LITTLE EGG HARBOR TWP |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08087-3905 |
Practice Address - Country: | US |
Practice Address - Phone: | 609-296-3106 |
Practice Address - Fax: | 609-294-9519 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-02-05 |
Last Update Date: | 2013-02-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | 00000000000 | 251B00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251B00000X | Agencies | Case Management |