| NPI | 1063837243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ODETOYE Owner 623-925-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging (Licence: AZ BH4441) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |