| NPI | 1982909768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE I REYES Owner 480-747-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 42593) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |