| NPI | 1215084660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE OGESEN President Owner 480-785-5769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 20679) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |