| NPI | 1477428480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHIAS ESABU Chief Administrative Officer 623-286-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |