| NPI | 1831152123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE CARABAJAL Psychologist 480-726-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 1868) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2020-08-22 |