| NPI | 1851128623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELLE RUBIN Owner 480-215-2219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |