| NPI | 1750103263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE BELL Owner 602-803-2765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-10-26 |