| NPI | 1437482544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Director, Credentialing 602-470-5519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2020-01-02 |