| NPI | 1013736404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W DIXON Owner 480-818-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |