| NPI | 1881021012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER K BOYLE Physician 928-774-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 38148) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |