| NPI | 1598986630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MI LE TRAN President 602-443-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: AZ 22239) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |