| NPI | 1922712454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE TALAS-DENNY Provider Network Manament Assoc 623-273-6154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-03-03 |