| NPI | 1861499410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GABRIEL ZUESS Member 602-787-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 29189) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |