Provider Demographics
NPI:1841325743
Name:COUNTY OF MARICOPA, BALSZ SCHOOL DISTRICT #31
Entity type:Organization
Organization Name:COUNTY OF MARICOPA, BALSZ SCHOOL DISTRICT #31
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OWEN-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-629-6820
Mailing Address - Street 1:4825 E ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-5917
Mailing Address - Country:US
Mailing Address - Phone:602-629-6822
Mailing Address - Fax:602-629-6815
Practice Address - Street 1:4825 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-5917
Practice Address - Country:US
Practice Address - Phone:602-629-6451
Practice Address - Fax:602-629-6458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ637382251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ637382Medicaid