Organization
MYSTIC VALLEY REGIONAL CHARTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KINNON (SPECIAL EDUCATION COORDINATOR)
(781) 388-0222
Entity
Organization
Contact information
Practice address
770 SALEM ST, MALDEN, MA 02148-4415
(781) 388-0222
(781) 321-5688
Mailing address
770 SALEM ST, MALDEN, MA 02148-4415
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1955772
—
MA
Enumeration date
03/30/2007
Last updated
08/22/2020
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