| NPI | 1487143152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL SEABERN STAFFORD President 623-687-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3691) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-10-29 |