| NPI | 1982362166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN AIELLO President/Provider 928-916-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2022-06-21 |