NPI | 1023811817 |
---|---|
Entity Type | Organization |
Authorized Contact | ODELAISY AREVALO BLANCO Owner 702-591-3243 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2025-03-28 |
Last Update Date | 2025-09-11 |