| NPI | 1497421101 |
|---|---|
| Doing Business As | VITALIS WELLNESS CENTER, AZ PC |
| Entity Type | Organization |
| Authorized Contact | NELLIE IDARA SAMUEL Co Owner 800-922-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2024-07-19 |