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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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