| NPI | 1063127801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA DE LUNA OLIVARES CEO 702-831-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |