| NPI | 1780979740 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERTO IGOR BRACAMONTE VALENCIA President 602-350-3046 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 42622) | 
| Enumeration Date | 2011-06-17 | 
| Last Update Date | 2025-04-03 |