Provider Demographics
NPI:1790659985
Name:SOAR CHARTER ACADEMY
Entity type:Organization
Organization Name:SOAR CHARTER ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-888-3300
Mailing Address - Street 1:198 W MILL ST
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-1402
Mailing Address - Country:US
Mailing Address - Phone:909-888-3300
Mailing Address - Fax:909-888-3310
Practice Address - Street 1:198 W MILL ST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-1402
Practice Address - Country:US
Practice Address - Phone:909-888-3300
Practice Address - Fax:909-888-3310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty