Organization
SOUTHWEST HUMAN DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA LAVENDER (BILLING - CREDENTIALING SPECIALIST)
(602) 218-8679
Entity
Organization
Contact information
Practice address
2850 N 24TH ST FL 3, PHOENIX, AZ 85008-1004
(602) 845-3282
(602) 274-4895
Mailing address
2850 N 24TH ST FL 3, PHOENIX, AZ 85008-1004
(602) 266-5976
(602) 955-1475
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
02/06/2025
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