| NPI | 1063006625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA B BECERRA BAUTISTA Neurotherapist Intern 702-728-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |