| NPI | 1801398524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE HADEED Owner 520-485-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology Forensic Psychiatry |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-06-20 |