| NPI | 1699384040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M REICHENBACHER Provider/Owner 520-639-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-12-11 |