| NPI | 1093019523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CARR Owner 623-344-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 33489) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |