| NPI | 1902106404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SAPP Owner 602-460-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 30780) |
| Enumeration Date | 2010-10-30 |
| Last Update Date | 2012-02-03 |