| Southwest Autism Research And Resource Center | |
|
300 N 18th St Phoenix AZ 85006-4103 | |
| (602) 340-8717 | |
| (602) 340-8720 |
| Full Name | Southwest Autism Research And Resource Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 N 18th St, Phoenix, Arizona |
| Authorized Official Name and Position | Daniel Openden (PRESIDENT AND CEO) |
| Authorized Official Contact | 6023408717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Autism Research And Resource Center 300 N 18th St Phoenix AZ 85006-4103 Ph: (602) 340-8717 | Southwest Autism Research And Resource Center 300 N 18th St Phoenix AZ 85006-4103 Ph: (602) 340-8717 |
| NPI Number | 1538311527 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538311527 | NPI | - | NPPES |
| 825557 | Medicaid | AZ | |
| 1689741357 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-2716 (Arizona) | Primary |
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