| NPI | 1386041861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CARR Owner 480-719-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 46918) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: HI MD-16383) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2016-08-29 |