Organization
EDISON POJECT
Active
Other names
Edison School of Innovation
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI ORTEGA (CREDENTIALING)
(602) 277-6277
Entity
Organization
Contact information
Practice address
8340 W NORTHERN AVE, GLENDALE, AZ 85305-1305
(623) 363-3849
Mailing address
8340 W NORTHERN AVE, GLENDALE, AZ 85305-1305
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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