| NPI | 1710184114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H IRVINE General Counsel 602-402-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3482) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 3482) |
| 103TF0000X Psychologist, Family (Licence: AZ 3482) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |