| NPI | 1265611743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANN MAHONEY President 520-797-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 3436) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 3436) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-11-14 |