Provider Demographics
NPI:1841695509
Name:DATABASE EDUCATIONAL PROGRAM, INC.
Entity type:Organization
Organization Name:DATABASE EDUCATIONAL PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-202-9030
Mailing Address - Street 1:1507 GLENSIDE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-3473
Mailing Address - Country:US
Mailing Address - Phone:336-202-9030
Mailing Address - Fax:
Practice Address - Street 1:1507 GLENSIDE DR
Practice Address - Street 2:SUITE A
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-3473
Practice Address - Country:US
Practice Address - Phone:336-202-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)