Organization
LEAD CHARTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE JOSEPH-FORMAN (CHIEF PROGRAM OFFICER)
(862) 772-1724
Entity
Organization
Contact information
Practice address
201 BERGEN ST, NEWARK, NJ 07103-2402
(862) 772-1724
Mailing address
201 BERGEN ST, NEWARK, NJ 07103-2402
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103TS0200X
School Psychologist
—
—
1041S0200X
School Social Worker
Primary
—
—
163WS0200X
School Registered Nurse
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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