NPI | 1821107004 |
---|---|
Entity Type | Organization |
Authorized Contact | BYRL ROBERT CRAGO Clinical Psychologist President 520-323-0062 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 0866) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-09-21 |