| NPI | 1679618797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MILO MARTIG President 602-867-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 0796) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-10-17 |