| NPI | 1477095073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HAMELIN Credentialer 602-308-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R71751) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |