| NPI | 1700824620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALLEN ROBERTS Co Director 520-327-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |