| NPI | 1023817624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO SUAREZ Director 702-764-4968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-04-28 |