Provider Demographics
NPI:1831371715
Name:COTTONWOOD OAK CREEK SD3#6
Entity type:Organization
Organization Name:COTTONWOOD OAK CREEK SD3#6
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DSC COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1928-634-2288
Mailing Address - Street 1:1 N WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-3651
Mailing Address - Country:US
Mailing Address - Phone:192-863-4228
Mailing Address - Fax:
Practice Address - Street 1:1 N WILLARD ST
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-3651
Practice Address - Country:US
Practice Address - Phone:192-863-4228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)