Organization
SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER
Active
Other names
Southwest Autism Research Center, Phoenix Autism Research Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SHAW (DIRECTOR OF FINANCE)
(602) 218-8211
Entity
Organization
Contact information
Practice address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(602) 340-8717
Mailing address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(602) 340-8717
(602) 218-8176
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825557
—
AZ
Enumeration date
11/29/2006
Last updated
01/02/2024
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