| NPI | 1467060343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J FRAZIER Physician/Sole Member 602-930-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |