| NPI | 1982194387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE REED Owner 480-332-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |