NPI | 1053757278 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON W FRIDAY Medical Director 480-471-8560 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2013-05-14 |
Last Update Date | 2022-01-19 |