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 | 2025-03-14 |