NPI | 1629689435 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINA EWING Founder/CEO 480-737-1240 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-08-14 |
Last Update Date | 2020-09-04 |