| NPI | 1003912692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK SHAYNE HINES President 602-275-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 31380) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-09-29 |