Organization
GORDON BERNELL CHARTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RENEE GENTRY (CREDENTIALING SPECIALIST)
(800) 354-4881
Entity
Organization
Contact information
Practice address
2821 4TH ST NW, ALBUQUERQUE, NM 87107-1313
(505) 916-8618
(505) 208-7880
Mailing address
3838 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-1950
(800) 354-4881
(602) 926-2445
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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