| NPI | 1326006313 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANN MARIE NEGRI Medical Director 602-695-8819  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD027706E)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013829)  | 
| 1041C0700X Social Worker, Clinical (Licence: PA CW013465)  | |
| 1041C0700X Social Worker, Clinical (Licence: PA CW012175)  | |
| Enumeration Date | 2006-05-02 | 
| Last Update Date | 2007-07-28 |