| NPI | 1356508790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE ROBINSON Billing Coordinator 480-456-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |