Organization
SOUTHWEST HUMAN DEVELOPMENT
Active
Organization
SOUTHWEST HUMAN DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINGER WARD (EXECUTIVE DIRECTOR)
(602) 266-5976
Entity
Organization
Contact information
Practice address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 266-5976
(602) 274-5982
Mailing address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 266-5976
(602) 274-5982
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
01
—
AZ0140920
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/29/2006
Last updated
01/22/2014
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