| NPI | 1518166529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE K FREEDHEIM Owner 520-296-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 26780) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |