| NPI | 1194784900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD A GOLEN President 928-771-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 23522) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2012-02-16 |