| NPI | 1902146863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MILLER Manager/Member 602-622-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 3676) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |