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 |