| 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 |