Organization
SOUTHWEST HUMAN DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA WARD (CEO)
(602) 224-1751
Entity
Organization
Contact information
Practice address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 266-5976
Mailing address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 266-5976
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042127
—
AZ
05
—
199150
—
AZ
05
—
936560
—
AZ
Enumeration date
09/21/2017
Last updated
07/21/2022
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