| NPI | 1497821698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A RUBEN Owner 520-882-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 11382) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AZ 11382) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 11382) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: AZ 11382) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-06-08 |