| NPI | 1588746192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W FEHR Owner 520-877-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 21307) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-03-01 |