Provider Demographics
NPI:1699052456
Name:CENTRAL PENNSYLANIA INSTITUTE OF SCIENCE AND TECHNOLOGY
Entity type:Organization
Organization Name:CENTRAL PENNSYLANIA INSTITUTE OF SCIENCE AND TECHNOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADULT EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-359-2793
Mailing Address - Street 1:540 N HARRISON RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GAP
Mailing Address - State:PA
Mailing Address - Zip Code:16823-8644
Mailing Address - Country:US
Mailing Address - Phone:814-359-2793
Mailing Address - Fax:814-359-2599
Practice Address - Street 1:540 N HARRISON RD
Practice Address - Street 2:
Practice Address - City:PLEASANT GAP
Practice Address - State:PA
Practice Address - Zip Code:16823-8644
Practice Address - Country:US
Practice Address - Phone:814-359-2793
Practice Address - Fax:814-359-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)