Organization
AMERICAN LEADERSHIP ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT JENSEN (BUSINESS MANAGER)
(480) 420-2131
Entity
Organization
Contact information
Practice address
19935 E CHANDLER HEIGHTS RD, QUEEN CREEK, AZ 85142-9350
(480) 420-2131
Mailing address
19935 E CHANDLER HEIGHTS RD, QUEEN CREEK, AZ 85142-9350
(480) 420-2131
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
909697
—
AZ
Enumeration date
04/03/2017
Last updated
04/03/2017
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