Organization
PHOENIX UNION HIGH SCHOOL DISTRICT #210
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIANE C WRAY (DIRECTOR OF SPECIAL EDUCATION)
(602) 764-1025
Entity
Organization
Contact information
Practice address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-1008
(602) 407-1159
Mailing address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-1008
(602) 407-1159
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
566086
—
AZ
Enumeration date
08/30/2006
Last updated
09/25/2008
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