| NPI | 1265112155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEODORA DEL PILAR President 702-686-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |