NPI | 1174729008 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL W JONES Owner 520-795-0309 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 4192) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2020-08-22 |