| NPI | 1205556081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS RODRIGUEZ BAUZA Owner 702-478-9971 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |