| NPI | 1447591375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE I REYES Owner 480-699-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 42593) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |