SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER NPI 1689741357

NPI Information

SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER NPI is 1689741357. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southwest Autism Research Center, Phoenix Autism Research Center.

The provider's business location address is:

300 N 18TH ST
PHOENIX, AZ
ZIP 85006-103
Phone: (602) 340-8717

The provider's authorized official is Brian Shaw .
The authorized official title is DIRECTOR OF FINANCEFinance and has the following contact phone number (602) 218-8211.

The CLIA number assigned to this NPI record is 03D1069890 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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