| NPI | 1912792227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GALLARDO Managing Member 480-630-9508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |