Organization
NORTHWOOD ACADEMY CS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HOLLISTER (PRINCIPAL)
(215) 289-5606
Entity
Organization
Contact information
Practice address
4621 CASTOR AVE, PHILADELPHIA, PA 19124-3024
(215) 289-5606
(215) 289-5464
Mailing address
4621 CASTOR AVE, PHILADELPHIA, PA 19124-3024
(215) 289-5606
(215) 289-5464
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017121050001
—
PA
Enumeration date
03/08/2007
Last updated
08/22/2020
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