| NPI | 1255110508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MONTEAGUDO Owner 702-742-1326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-10-02 |