| NPI | 1215879440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE WIJANGCO Owner 702-830-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-04-07 |