03D1075693 CLIA NUMBER - SOUTHWEST NETWORK, INC

Laboratory Demographics

CLIA Number: 03D1075693

Facility Name: SOUTHWEST NETWORK, INC

Facility Address:
2700 N CENTRAL AVE #1050
PHOENIX, AZ
ZIP 85004
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Facility Phone Number: 602 266-8402

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1306097886

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	03D1075693
LAB Type	Other
Facility Name	SOUTHWEST NETWORK, INC
Street	2700 N CENTRAL AVE #1050
City	PHOENIX
State	AZ
ZIP	85004
Phone	602 266-8402
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024