| NPI | 1811483878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM BESCH Administrator 480-371-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ ifbh9001) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2020-09-02 |