Provider Demographics
NPI:1780497065
Name:WORCESTER CULTURAL ACADEMY CHARTER PUBLIC SCHOOL
Entity type:Organization
Organization Name:WORCESTER CULTURAL ACADEMY CHARTER PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FOR EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-312-6400
Mailing Address - Street 1:174 BRUSH HILL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1204
Mailing Address - Country:US
Mailing Address - Phone:413-735-2238
Mailing Address - Fax:413-735-2270
Practice Address - Street 1:355 GRAFTON ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-3815
Practice Address - Country:US
Practice Address - Phone:413-735-2238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)