NPI | 1265162549 |
---|---|
Entity Type | Organization |
Authorized Contact | SOJI OBAGBEMI Owner 702-487-5541 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2022-06-10 |
Last Update Date | 2022-06-15 |