| NPI | 1225466972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KINGSLEY Owner/Provider 602-374-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 35465) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2014-03-10 |