Provider Demographics
NPI:1699167759
Name:STEAM ACADEMY OF DAYTON
Entity type:Organization
Organization Name:STEAM ACADEMY OF DAYTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF SCHOOL/PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:STROUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-262-7063
Mailing Address - Street 1:545 ODLIN AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-2743
Mailing Address - Country:US
Mailing Address - Phone:937-262-7063
Mailing Address - Fax:
Practice Address - Street 1:545 ODLIN AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-2743
Practice Address - Country:US
Practice Address - Phone:937-262-7063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)