Provider Demographics
NPI:1699281170
Name:MARKEIM ARTS CENTER
Entity type:Organization
Organization Name:MARKEIM ARTS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF EVENTS & SPECIAL PROGRAMMING
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:STANZILIS
Authorized Official - Suffix:
Authorized Official - Credentials:BA ART THERAPY
Authorized Official - Phone:856-429-8585
Mailing Address - Street 1:104 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1855
Mailing Address - Country:US
Mailing Address - Phone:856-429-8585
Mailing Address - Fax:
Practice Address - Street 1:104 WALNUT ST
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1855
Practice Address - Country:US
Practice Address - Phone:856-429-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services