| NPI | 1649229394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JORDAN President 602-956-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AZ 26988) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-04-18 |