| NPI | 1619164829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO C. RAMIREZ Sole Owner 520-663-0688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 12694) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 12694) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2010-02-01 |