Provider Demographics
NPI:1720613680
Name:PRINCIPLE ACADEMY CHARTER SCHOOL
Entity Type:Organization
Organization Name:PRINCIPLE ACADEMY CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CSA
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:CORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-498-6350
Mailing Address - Street 1:6718 BLACK HORSE PIKE STE 16
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-3903
Mailing Address - Country:US
Mailing Address - Phone:609-498-6350
Mailing Address - Fax:
Practice Address - Street 1:6718 BLACK HORSE PIKE STE 16
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-3903
Practice Address - Country:US
Practice Address - Phone:609-498-6350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management