| NPI | 1164605333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BLIKLEN President 602-843-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 17275) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2012-01-04 |