| NPI | 1598581282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIROSLAV ILIEFF Owner And Nurse Practitioner 480-979-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |