Organization
NEURODIVERSITY EDUCATION RESEARCH CENTER
Active
Organization
NEURODIVERSITY EDUCATION RESEARCH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MIMS (CEO)
(480) 939-6013
Entity
Organization
Contact information
Practice address
1375 E BROADWAY RD, PHOENIX, AZ 85040-2305
(602) 832-4708
Mailing address
515 E GRANT ST STE 150, PHOENIX, AZ 85004-2750
(602) 832-4708
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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