Provider Demographics
NPI:1053605899
Name:ARISE ACADEMY CHARTER HIGH SCHOOL
Entity type:Organization
Organization Name:ARISE ACADEMY CHARTER HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:I
Authorized Official - Last Name:KURILOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-767-1853
Mailing Address - Street 1:1118 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3601
Mailing Address - Country:US
Mailing Address - Phone:215-563-1656
Mailing Address - Fax:215-563-5374
Practice Address - Street 1:1118 MARKET ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-3601
Practice Address - Country:US
Practice Address - Phone:215-563-1656
Practice Address - Fax:215-563-5374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)