| NPI | 1063105534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARIS RASHEED Administrator 480-500-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |