Provider Demographics
NPI:1700340452
Name:M.E.T.S. CHARTER SCHOOL
Entity Type:Organization
Organization Name:M.E.T.S. CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:THORESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-526-8500
Mailing Address - Street 1:570 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-4532
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:570 BROAD ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-4532
Practice Address - Country:US
Practice Address - Phone:973-632-9017
Practice Address - Fax:973-850-0035
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:123456789
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)