Provider Demographics
NPI:1821141060
Name:MARY C. O'BRIEN SCHOOL
Entity Type:Organization
Organization Name:MARY C. O'BRIEN SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GORODENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-723-6700
Mailing Address - Street 1:PO BOX 3125
Mailing Address - Street 2:
Mailing Address - City:ELEVEN MILE CORNER
Mailing Address - State:AZ
Mailing Address - Zip Code:85222-0125
Mailing Address - Country:US
Mailing Address - Phone:520-723-6700
Mailing Address - Fax:520-723-7232
Practice Address - Street 1:1400 N ELEVEN MILE CORNER RD
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85294-9187
Practice Address - Country:US
Practice Address - Phone:520-723-6700
Practice Address - Fax:520-723-7232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)