Organization
VICTORY COLLEGIATE ACADEMY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GENTRY (CREDENTIALING SPECIALIST)
(800) 354-4881
Entity
Organization
Contact information
Practice address
3535 N 63RD AVE, PHOENIX, AZ 85033-4503
(623) 810-9781
(623) 926-2748
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
09/07/2019
Last updated
09/07/2019
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