| NPI | 1144233784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY REISER CEO 602-200-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 21445) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-11-07 |