Provider Demographics
NPI:1881447043
Name:GORMAN LEARNING CHARTER NETWORK
Entity type:Organization
Organization Name:GORMAN LEARNING CHARTER NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARQUETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-235-6227
Mailing Address - Street 1:1826 ORANGE TREE LN
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-2821
Mailing Address - Country:US
Mailing Address - Phone:909-307-6312
Mailing Address - Fax:
Practice Address - Street 1:1826 ORANGE TREE LN
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2821
Practice Address - Country:US
Practice Address - Phone:909-307-6312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)