| NPI | 1336692656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM HAZEGHAZAM Owner 623-308-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 49617) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |