| NPI | 1063900835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANN KELLEY President 602-795-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 25986) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |