| NPI | 1508312190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA J COHAN President 928-649-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 20724) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 20724) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |