| NPI | 1912302845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHAR GOLESTAN Provider 480-345-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ 42214) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |