| NPI | 1124293220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CAMP Executive Vice President 623-876-5605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |