Provider Demographics
NPI:1588051858
Name:BIG SUR CHARTER SCHOOL
Entity type:Organization
Organization Name:BIG SUR CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-667-0203
Mailing Address - Street 1:PO BOX 138
Mailing Address - Street 2:
Mailing Address - City:BIG SUR
Mailing Address - State:CA
Mailing Address - Zip Code:93920-0138
Mailing Address - Country:US
Mailing Address - Phone:831-667-0203
Mailing Address - Fax:
Practice Address - Street 1:47540 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:BIG SUR
Practice Address - State:CA
Practice Address - Zip Code:93920-9632
Practice Address - Country:US
Practice Address - Phone:831-667-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management