Provider Demographics
NPI:1487895090
Name:DELAWARE COLLEGE PREPARATORY ACADEMY
Entity type:Organization
Organization Name:DELAWARE COLLEGE PREPARATORY ACADEMY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-792-7424
Mailing Address - Street 1:510 W 28TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-3022
Mailing Address - Country:US
Mailing Address - Phone:302-792-7424
Mailing Address - Fax:302-792-7426
Practice Address - Street 1:510 W 28TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-3022
Practice Address - Country:US
Practice Address - Phone:302-792-7424
Practice Address - Fax:302-792-7426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)