| NPI | 1518798610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN ALI VANGELENA Medical Doctor/Associate 928-955-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2024-08-10 |