| NPI | 1285524728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKAUWRA SANDOVAL CEO 702-683-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |