| NPI | 1124299334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Credentialing Director 602-470-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2013-03-21 |