Provider Demographics
NPI:1881808632
Name:BOARD OF EDUCATION OF SEASIDE HEIGHTS
Entity type:Organization
Organization Name:BOARD OF EDUCATION OF SEASIDE HEIGHTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CST SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:JULIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:732-793-8485
Mailing Address - Street 1:1200 BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:SEASIDE HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08751-1842
Mailing Address - Country:US
Mailing Address - Phone:732-793-8485
Mailing Address - Fax:732-793-8367
Practice Address - Street 1:1200 BAY BLVD
Practice Address - Street 2:
Practice Address - City:SEASIDE HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08751-1842
Practice Address - Country:US
Practice Address - Phone:732-793-8485
Practice Address - Fax:732-793-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherFEDERAL ID NUMBER