| NPI | 1902935083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN S ABLE Owner Provider 520-797-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 20277) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-08-26 |