| NPI | 1194413419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO IGOR BRACAMONTE VALENCIA CEO 602-350-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-03-14 |