Provider Demographics
NPI:1306289624
Name:THE PHILADELPHIA CHARTER SCHOOL FOR THE ARTS AND SCIENCES AT H.R. EDMU
Entity type:Organization
Organization Name:THE PHILADELPHIA CHARTER SCHOOL FOR THE ARTS AND SCIENCES AT H.R. EDMU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FEOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-537-2520
Mailing Address - Street 1:13000 LINCOLN DRIVE WEST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-505-1300
Mailing Address - Fax:856-505-1300
Practice Address - Street 1:1197 HAWORTH STREET
Practice Address - Street 2:
Practice Address - City:PHIADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124
Practice Address - Country:US
Practice Address - Phone:215-537-2520
Practice Address - Fax:215-537-2861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty