Provider Demographics
NPI:1104010388
Name:ARIZONA ACADEMY OF LEADERSHIP, INC.
Entity Type:Organization
Organization Name:ARIZONA ACADEMY OF LEADERSHIP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:STROZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:520-940-3784
Mailing Address - Street 1:PO BOX 22046
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85734-2046
Mailing Address - Country:US
Mailing Address - Phone:520-940-3784
Mailing Address - Fax:866-612-2196
Practice Address - Street 1:5660 S 12TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-3102
Practice Address - Country:US
Practice Address - Phone:520-940-3784
Practice Address - Fax:866-612-2196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)