OrganizationActive
Neurodiversity Education Research Center
NPI 1093550535 · Developmental Disabilities Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1093550535
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Mims, Ceo(480) 939-6013
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1375 E Broadway Rd
Phoenix, AZ 85040-2305
Phone: (602) 832-4708
Approximate (ZIP-level) locationGet directions
Mailing address
515 E Grant St Ste 150
Phoenix, AZ 85004-2750
Registry dates
- Enumerated
- 2024-06-26
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.