| NPI | 1215986104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARAYEH CUNNINGHAM Managing Director 520-398-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 27940) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3784) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-11-29 |