| NPI | 1790668085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA POWELL Owner 480-770-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-26 |