| NPI | 1205054095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P BEVAN Director 602-843-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |