| 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 |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-08-31 |