| NPI | 1114589892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEYKY FERNANDEZ-GONZALEZ CEO 702-410-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2021-06-30 |