NPI | 1265178990 |
---|---|
Entity Type | Organization |
Authorized Contact | REINIER MOLA Owner 702-510-9229 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-05-06 |
Last Update Date | 2022-08-31 |