Provider Demographics
NPI:1932449964
Name:CITY INVINCIBLE CHARTER SCHOOL
Entity Type:Organization
Organization Name:CITY INVINCIBLE CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TREVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRENIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-342-9500
Mailing Address - Street 1:836 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-2047
Mailing Address - Country:US
Mailing Address - Phone:856-342-9500
Mailing Address - Fax:856-342-9520
Practice Address - Street 1:836 S 4TH ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-2047
Practice Address - Country:US
Practice Address - Phone:856-342-9500
Practice Address - Fax:856-342-9520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)