| NPI | 1639872518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND SEGAL Co President 480-508-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |