| NPI | 1831463918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DURHAM Managing Director 602-430-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM 2008-0595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2006-0490) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |