| NPI | 1619941184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN ERNEST ROOT President 480-926-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 1688) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-08-22 |