| NPI | 1700084720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAIRALLAH FAYAZI Managing Member 602-327-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 11061) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-04-23 |