| NPI | 1184381246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAREL HERNANDEZ LEON Managing Member 702-515-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |